How much rates vary
Facilitymedian $41 · 10th to 90th $11 to $240Professionalmedian $43 · 10th to 90th $14 to $200
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 $20.42 Median $46.77 Typical High $89.13 | Facility | None | $20.42 | $46.77 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.70 Typical High $69.18 | Professional | None (both parts) | $20.42 | $25.70 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.41 Typical High $18.62 | Professional | 26 · Professional part | $6.31 | $7.41 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $18.20 Typical High $50.12 | Professional | TC · Technical part | $14.13 | $18.20 | $50.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $30.90 Median $114.82 Typical High $288.40 | Facility | None | $30.90 | $114.82 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $27.54 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $27.54 | $89.13 | $199.53 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $22.39 Typical High $63.10 | Professional | 26 · Professional part | $8.51 | $22.39 | $63.10 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $72.44 Typical High $154.88 | Professional | TC · Technical part | $23.44 | $72.44 | $154.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $257.04 | Facility | None | $128.82 | $186.21 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $15.49 | Professional | 26 · Professional part | $8.91 | $8.91 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $173.78 Typical High $380.19 | Facility | None | $63.10 | $173.78 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $42.66 Typical High $100.00 | Professional | None (both parts) | $33.11 | $42.66 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.23 Typical High $23.99 | Professional | 26 · Professional part | $9.55 | $10.23 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $75.86 | Professional | TC · Technical part | $25.12 | $33.11 | $75.86 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $33.11 Typical High $52.48 | Facility | None | $10.72 | $33.11 | $52.48 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $35.48 Typical High $52.48 | Professional | None (both parts) | $10.72 | $35.48 | $52.48 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $32.36 Median $51.29 Typical High $104.71 | Professional | None (both parts) | $32.36 | $51.29 | $104.71 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.18 Typical High $25.12 | Professional | 26 · Professional part | $8.91 | $13.18 | $25.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $42.66 Typical High $72.44 | Professional | TC · Technical part | $23.99 | $42.66 | $72.44 |
Health New England Setting Facility Modifier None Typical Low $48.98 Median $177.83 Typical High $537.03 | Facility | None | $48.98 | $177.83 | $537.03 |
Health New England Setting Professional Modifier None (both parts) Typical Low $11.75 Median $13.80 Typical High $169.82 | Professional | None (both parts) | $11.75 | $13.80 | $169.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $30.90 Median $114.82 Typical High $288.40 | Facility | None | $30.90 | $114.82 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $27.54 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $27.54 | $89.13 | $199.53 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $22.39 Typical High $63.10 | Professional | 26 · Professional part | $8.51 | $22.39 | $63.10 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $72.44 Typical High $154.88 | Professional | TC · Technical part | $23.44 | $72.44 | $154.88 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $26.92 | $40.74 | $75.86 |
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 $30.90 Typical High $56.23 | Professional | TC · Technical part | $19.95 | $30.90 | $56.23 |
Well Sense Setting Facility Modifier None Typical Low $24.55 Median $33.88 Typical High $51.29 | Facility | None | $24.55 | $33.88 | $51.29 |
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 $18.62 Median $24.55 Typical High $43.65 | Facility | TC · Technical part | $18.62 | $24.55 | $43.65 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $25.12 | Professional | None (both parts) | $20.89 | $20.89 | $25.12 |
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 $10.23 Median $10.23 Typical High $15.14 | Professional | 52 · Reduced service | $10.23 | $10.23 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $6.03 | Professional | 53 · Discontinued | $4.07 | $4.07 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $16.22 Typical High $23.44 | Professional | FX · Film X-ray | $16.22 | $16.22 | $23.44 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $64.57 Median $81.28 Typical High $114.82 | Facility | 52 · Reduced service | $64.57 | $81.28 | $114.82 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $19.05 Typical High $28.18 | Professional | 52 · Reduced service | $4.47 | $19.05 | $28.18 |
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· 18th of 51
$42.66
AK $91.20FL $24.55
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.