How much rates vary
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 $32.36 Median $32.36 Typical High $97.72 | Facility | None | $32.36 | $32.36 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $93.33 | Professional | None (both parts) | $32.36 | $39.81 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $21.38 | Professional | 26 · Professional part | $8.32 | $10.00 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $29.51 Typical High $74.13 | Professional | TC · Technical part | $24.55 | $29.51 | $74.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $46.77 Median $141.25 Typical High $173.78 | Facility | None | $46.77 | $141.25 | $173.78 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $45.71 Median $117.49 Typical High $302.00 | Professional | None (both parts) | $45.71 | $117.49 | $302.00 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $23.44 Typical High $67.61 | Professional | 26 · Professional part | $10.96 | $23.44 | $67.61 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $89.13 Typical High $234.42 | Professional | TC · Technical part | $34.67 | $89.13 | $234.42 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $32.36 Median $89.13 Typical High $128.82 | Facility | None | $32.36 | $89.13 | $128.82 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $44.67 | $46.77 | $46.77 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $12.02 | $20.42 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $46.77 | $46.77 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $223.87 | Facility | None | $64.57 | $87.10 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $144.54 | Professional | None (both parts) | $51.29 | $66.07 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $31.62 | Professional | 26 · Professional part | $12.88 | $13.49 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $52.48 Typical High $117.49 | Professional | TC · Technical part | $38.02 | $52.48 | $117.49 |
Fallon Health Setting Facility Modifier None Typical Low $14.13 Median $54.95 Typical High $81.28 | Facility | None | $14.13 | $54.95 | $81.28 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $14.13 Median $56.23 Typical High $81.28 | Professional | None (both parts) | $14.13 | $56.23 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $50.12 Median $79.43 Typical High $154.88 | Professional | None (both parts) | $50.12 | $79.43 | $154.88 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.50 Typical High $33.88 | Professional | 26 · Professional part | $12.30 | $19.50 | $33.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $38.90 | $69.18 | $120.23 |
Health New England Setting Facility Modifier None Typical Low $74.13 Median $158.49 Typical High $302.00 | Facility | None | $74.13 | $158.49 | $302.00 |
Health New England Setting Professional Modifier None (both parts) Typical Low $15.49 Median $26.30 Typical High $123.03 | Professional | None (both parts) | $15.49 | $26.30 | $123.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $46.77 Median $141.25 Typical High $173.78 | Facility | None | $46.77 | $141.25 | $173.78 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $45.71 Median $117.49 Typical High $302.00 | Professional | None (both parts) | $45.71 | $117.49 | $302.00 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $23.44 Typical High $67.61 | Professional | 26 · Professional part | $10.96 | $23.44 | $67.61 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $89.13 Typical High $234.42 | Professional | TC · Technical part | $34.67 | $89.13 | $234.42 |
Tufts Setting Facility Modifier None Typical Low $33.11 Median $112.20 Typical High $407.38 | Facility | None | $33.11 | $112.20 | $407.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $33.88 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $33.88 | $52.48 | $91.20 |
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 $43.65 Median $63.10 Typical High $112.20 | Professional | None (both parts) | $43.65 | $63.10 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $10.72 | $15.14 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $91.20 | Professional | TC · Technical part | $33.11 | $47.86 | $91.20 |
Well Sense Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $75.86 | Facility | None | $37.15 | $51.29 | $75.86 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $18.62 | Facility | 26 · Professional part | $7.94 | $10.47 | $18.62 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $38.02 Typical High $67.61 | Facility | TC · Technical part | $28.84 | $38.02 | $67.61 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None (both parts) | $27.54 | $27.54 | $33.11 |
2 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 FX · Film X-ray Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | FX · Film X-ray | $26.30 | $26.30 | $32.36 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.03 Typical High $13.49 | Professional | 52 · Reduced service | $6.03 | $6.03 | $13.49 |
Where Massachusetts sits
The same service costs 11.7 times more in Vermont than in Utah. 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· 16th of 51
$64.57
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.