How much rates vary
Facilitymedian $55 · 10th to 90th $10 to $166Professionalmedian $52 · 10th to 90th $11 to $240
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 $24.55 Median $38.90 Typical High $81.28 | Facility | None | $24.55 | $38.90 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $83.18 | Professional | None (both parts) | $24.55 | $30.90 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.31 Typical High $15.49 | Professional | 26 · Professional part | $5.25 | $6.31 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $67.61 | Professional | TC · Technical part | $19.50 | $24.55 | $67.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.02 Median $138.04 Typical High $158.49 | Facility | None | $38.02 | $138.04 | $158.49 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $28.18 Median $114.82 Typical High $239.88 | Professional | None (both parts) | $28.18 | $114.82 | $239.88 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $18.62 Typical High $53.70 | Professional | 26 · Professional part | $7.08 | $18.62 | $53.70 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $30.90 | $97.72 | $199.53 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $20.89 Median $89.13 Typical High $128.82 | Facility | None | $20.89 | $89.13 | $128.82 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | None (both parts) | $38.90 | $38.90 | $40.74 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $12.88 | Professional | 26 · Professional part | $7.41 | $7.41 | $12.88 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $40.74 | $40.74 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $162.18 Typical High $275.42 | Facility | None | $57.54 | $162.18 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $52.48 Typical High $120.23 | Professional | None (both parts) | $32.36 | $52.48 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.51 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $8.51 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $44.67 Typical High $102.33 | Professional | TC · Technical part | $29.51 | $44.67 | $102.33 |
Fallon Health Setting Facility Modifier None Typical Low $8.91 Median $46.77 Typical High $66.07 | Facility | None | $8.91 | $46.77 | $66.07 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $46.77 Typical High $70.79 | Professional | None (both parts) | $8.91 | $46.77 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $38.02 Median $72.44 Typical High $128.82 | Professional | None (both parts) | $38.02 | $72.44 | $128.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.30 Typical High $20.89 | Professional | 26 · Professional part | $7.41 | $12.30 | $20.89 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $57.54 Typical High $102.33 | Professional | TC · Technical part | $31.62 | $57.54 | $102.33 |
Health New England Setting Facility Modifier None Typical Low $45.71 Median $154.88 Typical High $281.84 | Facility | None | $45.71 | $154.88 | $281.84 |
Health New England Setting Professional Modifier None (both parts) Typical Low $9.55 Median $10.96 Typical High $61.66 | Professional | None (both parts) | $9.55 | $10.96 | $61.66 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.02 Median $138.04 Typical High $158.49 | Facility | None | $38.02 | $138.04 | $158.49 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $28.18 Median $114.82 Typical High $239.88 | Professional | None (both parts) | $28.18 | $114.82 | $239.88 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $18.62 Typical High $53.70 | Professional | 26 · Professional part | $7.08 | $18.62 | $53.70 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $30.90 | $97.72 | $199.53 |
Tufts Setting Facility Modifier None Typical Low $30.20 Median $117.49 Typical High $407.38 | Facility | None | $30.20 | $117.49 | $407.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $19.95 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $19.95 | $33.11 | $74.13 |
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 $24.55 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $24.55 | $48.98 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $6.03 | $9.33 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $19.50 | $40.74 | $77.62 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $61.66 | Facility | None | $30.20 | $41.69 | $61.66 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $5.01 Median $6.46 Typical High $11.48 | Facility | 26 · Professional part | $5.01 | $6.46 | $11.48 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $58.88 | Facility | TC · Technical part | $25.12 | $32.36 | $58.88 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | None (both parts) | $23.44 | $23.44 | $28.18 |
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 $12.30 Median $12.30 Typical High $18.20 | Professional | 52 · Reduced service | $12.30 | $12.30 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $7.24 | Professional | 53 · Discontinued | $4.90 | $4.90 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $19.50 Typical High $28.18 | Professional | FX · Film X-ray | $19.50 | $19.50 | $28.18 |
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 $3.72 Median $21.88 Typical High $41.69 | Professional | 52 · Reduced service | $3.72 | $21.88 | $41.69 |
Where Massachusetts sits
The same service costs 11.5 times more in Vermont 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
$52.48
VT $339FL $29.51
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.