How much rates vary
Facilitymedian $47 · 10th to 90th $12 to $166Professionalmedian $47 · 10th to 90th $13 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 $39.81 Typical High $93.33 | Facility | None | $22.91 | $39.81 | $93.33 |
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 $6.92 Median $7.94 Typical High $18.62 | Professional | 26 · Professional part | $6.92 | $7.94 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $57.54 | Professional | TC · Technical part | $15.85 | $19.95 | $57.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $32.36 Median $125.89 Typical High $154.88 | Facility | None | $32.36 | $125.89 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $29.51 Median $97.72 Typical High $218.78 | Professional | None (both parts) | $29.51 | $97.72 | $218.78 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $22.39 Typical High $70.79 | Professional | 26 · Professional part | $8.71 | $22.39 | $70.79 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $79.43 Typical High $169.82 | Professional | TC · Technical part | $26.30 | $79.43 | $169.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $26.30 Median $89.13 Typical High $128.82 | Facility | None | $26.30 | $89.13 | $128.82 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
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 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $56.23 | Professional | TC · Technical part | $32.36 | $32.36 | $56.23 |
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 $36.31 Median $46.77 Typical High $109.65 | Professional | None (both parts) | $36.31 | $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 $26.92 Median $36.31 Typical High $85.11 | Professional | TC · Technical part | $26.92 | $36.31 | $85.11 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $38.02 Typical High $57.54 | Facility | None | $10.72 | $38.02 | $57.54 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $39.81 Typical High $57.54 | Professional | None (both parts) | $10.72 | $39.81 | $57.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $31.62 Median $46.77 Typical High $107.15 | Professional | None (both parts) | $31.62 | $46.77 | $107.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $22.91 | Professional | 26 · Professional part | $8.91 | $12.88 | $22.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $47.86 Typical High $83.18 | Professional | TC · Technical part | $27.54 | $47.86 | $83.18 |
Health New England Setting Facility Modifier None Typical Low $52.48 Median $158.49 Typical High $275.42 | Facility | None | $52.48 | $158.49 | $275.42 |
Health New England Setting Professional Modifier None (both parts) Typical Low $11.75 Median $20.42 Typical High $83.18 | Professional | None (both parts) | $11.75 | $20.42 | $83.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $32.36 Median $125.89 Typical High $154.88 | Facility | None | $32.36 | $125.89 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $29.51 Median $97.72 Typical High $218.78 | Professional | None (both parts) | $29.51 | $97.72 | $218.78 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $22.39 Typical High $70.79 | Professional | 26 · Professional part | $8.71 | $22.39 | $70.79 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $79.43 Typical High $169.82 | Professional | TC · Technical part | $26.30 | $79.43 | $169.82 |
Tufts Setting Facility Modifier None Typical Low $26.92 Median $114.82 Typical High $407.38 | Facility | None | $26.92 | $114.82 | $407.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $25.70 Median $41.69 Typical High $70.79 | Professional | None (both parts) | $25.70 | $41.69 | $70.79 |
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 $28.84 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $28.84 | $45.71 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $20.42 | Professional | 26 · Professional part | $7.94 | $11.22 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $35.48 Typical High $63.10 | Professional | TC · Technical part | $21.38 | $35.48 | $63.10 |
Well Sense Setting Facility Modifier None Typical Low $26.92 Median $37.15 Typical High $56.23 | Facility | None | $26.92 | $37.15 | $56.23 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $8.13 Typical High $13.80 | Facility | 26 · Professional part | $6.03 | $8.13 | $13.80 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $48.98 | Facility | TC · Technical part | $20.89 | $27.54 | $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 |
4 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 $16.98 | Professional | 52 · Reduced service | $11.48 | $11.48 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $6.92 | Professional | 53 · Discontinued | $4.57 | $4.57 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $18.20 Typical High $26.30 | Professional | FX · Film X-ray | $18.20 | $18.20 | $26.30 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $4.47 Typical High $10.23 | Professional | 52 · Reduced service | $4.47 | $4.47 | $10.23 |
Where Massachusetts sits
The same service costs 12.9 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· 18th of 51
$46.77
VT $347FL $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.