How much rates vary
Facilitymedian $44 · 10th to 90th $11 to $138Professionalmedian $47 · 10th to 90th $17 to $219
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $22.91 Median $51.29 Typical High $95.50 | Facility | None | $22.91 | $51.29 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.84 Typical High $75.86 | Professional | None (both parts) | $22.91 | $28.84 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.76 Typical High $19.05 | Professional | 26 · Professional part | $6.46 | $7.76 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.89 Typical High $56.23 | Professional | TC · Technical part | $16.60 | $20.89 | $56.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $30.90 Median $125.89 Typical High $154.88 | Facility | None | $30.90 | $125.89 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $28.18 Median $97.72 Typical High $218.78 | Professional | None (both parts) | $28.18 | $97.72 | $218.78 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $22.91 Typical High $61.66 | Professional | 26 · Professional part | $8.51 | $22.91 | $61.66 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $79.43 Typical High $165.96 | Professional | TC · Technical part | $24.55 | $79.43 | $165.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $141.25 | Facility | None | $70.79 | $104.71 | $141.25 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $31.62 | $31.62 | $31.62 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $15.85 | Professional | 26 · Professional part | $9.33 | $9.33 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $162.18 Typical High $275.42 | Facility | None | $63.10 | $162.18 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $109.65 | Professional | None (both parts) | $33.88 | $46.77 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $23.99 | Professional | 26 · Professional part | $9.77 | $10.23 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $85.11 | Professional | TC · Technical part | $26.30 | $36.31 | $85.11 |
Fallon Health Setting Facility Modifier None Typical Low $10.96 Median $37.15 Typical High $57.54 | Facility | None | $10.96 | $37.15 | $57.54 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.96 Median $39.81 Typical High $57.54 | Professional | None (both parts) | $10.96 | $39.81 | $57.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $35.48 Median $58.88 Typical High $114.82 | Professional | None (both parts) | $35.48 | $58.88 | $114.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $14.13 Typical High $25.70 | Professional | 26 · Professional part | $8.91 | $14.13 | $25.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $26.92 | $47.86 | $81.28 |
Health New England Setting Facility Modifier None Typical Low $38.02 Median $69.18 Typical High $257.04 | Facility | None | $38.02 | $69.18 | $257.04 |
Health New England Setting Professional Modifier None (both parts) Typical Low $11.75 Median $20.89 Typical High $66.07 | Professional | None (both parts) | $11.75 | $20.89 | $66.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $30.90 Median $125.89 Typical High $154.88 | Facility | None | $30.90 | $125.89 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $28.18 Median $97.72 Typical High $218.78 | Professional | None (both parts) | $28.18 | $97.72 | $218.78 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $22.91 Typical High $61.66 | Professional | 26 · Professional part | $8.51 | $22.91 | $61.66 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $79.43 Typical High $165.96 | Professional | TC · Technical part | $24.55 | $79.43 | $165.96 |
Tufts Setting Professional Modifier None (both parts) Typical Low $29.51 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $29.51 | $39.81 | $39.81 |
United Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $338.84 | Facility | None | $120.23 | $229.09 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $44.67 Typical High $81.28 | Professional | None (both parts) | $28.18 | $44.67 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $7.24 | $11.22 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $34.67 Typical High $61.66 | Professional | TC · Technical part | $19.95 | $34.67 | $61.66 |
Well Sense Setting Facility Modifier None Typical Low $26.92 Median $37.15 Typical High $54.95 | Facility | None | $26.92 | $37.15 | $54.95 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $7.76 Typical High $13.80 | Facility | 26 · Professional part | $6.03 | $7.76 | $13.80 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $48.98 | Facility | TC · Technical part | $20.89 | $26.92 | $48.98 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $27.54 | Professional | None (both parts) | $22.91 | $22.91 | $27.54 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $16.60 | Professional | 52 · Reduced service | $11.48 | $11.48 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $6.61 | Professional | 53 · Discontinued | $4.57 | $4.57 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $18.20 Typical High $25.70 | Professional | FX · Film X-ray | $18.20 | $18.20 | $25.70 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $35.48 Median $44.67 Typical High $64.57 | Facility | 52 · Reduced service | $35.48 | $44.67 | $64.57 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $20.89 Typical High $36.31 | Professional | 52 · Reduced service | $4.68 | $20.89 | $36.31 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 17th of 51
$46.77
AK $100FL $26.92
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.