How much rates vary
Facilitymedian $41 · 10th to 90th $11 to $138Professionalmedian $44 · 10th to 90th $15 to $209
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 $21.38 Median $37.15 Typical High $89.13 | Facility | None | $21.38 | $37.15 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $69.18 | Professional | None (both parts) | $21.38 | $26.92 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.41 Typical High $16.60 | Professional | 26 · Professional part | $6.31 | $7.41 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.05 Typical High $50.12 | Professional | TC · Technical part | $15.14 | $19.05 | $50.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $30.90 Median $117.49 Typical High $154.88 | Facility | None | $30.90 | $117.49 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $27.54 Median $93.33 Typical High $208.93 | Professional | None (both parts) | $27.54 | $93.33 | $208.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $21.88 Typical High $70.79 | Professional | 26 · Professional part | $8.32 | $21.88 | $70.79 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $23.44 | $75.86 | $158.49 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
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 $162.18 Typical High $275.42 | Facility | None | $63.10 | $162.18 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $102.33 | Professional | None (both parts) | $33.11 | $43.65 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $9.77 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $79.43 | Professional | TC · Technical part | $25.12 | $33.88 | $79.43 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $34.67 Typical High $53.70 | Facility | None | $10.72 | $34.67 | $53.70 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $10.72 | $37.15 | $53.70 |
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 $8.71 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $8.71 | $12.02 | $22.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $25.70 | $42.66 | $75.86 |
Health New England Setting Facility Modifier None Typical Low $38.02 Median $54.95 Typical High $204.17 | Facility | None | $38.02 | $54.95 | $204.17 |
Health New England Setting Professional Modifier None (both parts) Typical Low $10.96 Median $12.59 Typical High $151.36 | Professional | None (both parts) | $10.96 | $12.59 | $151.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $30.90 Median $117.49 Typical High $154.88 | Facility | None | $30.90 | $117.49 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $27.54 Median $93.33 Typical High $208.93 | Professional | None (both parts) | $27.54 | $93.33 | $208.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $21.88 Typical High $70.79 | Professional | 26 · Professional part | $8.32 | $21.88 | $70.79 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $23.44 | $75.86 | $158.49 |
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 $26.92 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $26.92 | $42.66 | $79.43 |
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 $33.11 Typical High $58.88 | Professional | TC · Technical part | $19.95 | $33.11 | $58.88 |
Well Sense Setting Facility Modifier None Typical Low $25.70 Median $35.48 Typical High $52.48 | Facility | None | $25.70 | $35.48 | $52.48 |
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 $19.95 Median $25.70 Typical High $45.71 | Facility | TC · Technical part | $19.95 | $25.70 | $45.71 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | None (both parts) | $21.38 | $21.38 | $25.70 |
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 $10.72 Median $10.72 Typical High $16.22 | Professional | 52 · Reduced service | $10.72 | $10.72 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $6.46 | Professional | 53 · Discontinued | $4.27 | $4.27 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $16.98 Typical High $25.12 | Professional | FX · Film X-ray | $16.98 | $16.98 | $25.12 |
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 $4.47 Median $19.50 Typical High $33.88 | Professional | 52 · Reduced service | $4.47 | $19.50 | $33.88 |
Where Massachusetts sits
The same service costs 3.8 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
$43.65
AK $95.50FL $25.12
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.