How much rates vary
Facilitymedian $37 · 10th to 90th $11 to $148Professionalmedian $39 · 10th to 90th $15 to $182
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 $19.95 Median $37.15 Typical High $87.10 | Facility | None | $19.95 | $37.15 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $25.12 Typical High $60.26 | Professional | None (both parts) | $19.95 | $25.12 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.76 Typical High $15.85 | Professional | 26 · Professional part | $5.62 | $6.76 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $17.78 Typical High $42.66 | Professional | TC · Technical part | $14.45 | $17.78 | $42.66 |
AllWays Health Partners Setting Facility Modifier None Typical Low $30.90 Median $104.71 Typical High $154.88 | Facility | None | $30.90 | $104.71 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $26.92 Median $81.28 Typical High $181.97 | Professional | None (both parts) | $26.92 | $81.28 | $181.97 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $20.89 Typical High $70.79 | Professional | 26 · Professional part | $7.76 | $20.89 | $70.79 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $64.57 Typical High $154.88 | Professional | TC · Technical part | $21.88 | $64.57 | $154.88 |
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 $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $8.51 | $8.51 | $14.45 |
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 $32.36 Median $38.90 Typical High $89.13 | Professional | None (both parts) | $32.36 | $38.90 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.33 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $9.33 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $67.61 | Professional | TC · Technical part | $25.12 | $29.51 | $67.61 |
Fallon Health Setting Facility Modifier None Typical Low $10.23 Median $30.20 Typical High $47.86 | Facility | None | $10.23 | $30.20 | $47.86 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $10.23 | $31.62 | $47.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $28.18 Median $46.77 Typical High $95.50 | Professional | None (both parts) | $28.18 | $46.77 | $95.50 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.30 Typical High $23.44 | Professional | 26 · Professional part | $8.13 | $12.30 | $23.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $38.02 Typical High $66.07 | Professional | TC · Technical part | $22.91 | $38.02 | $66.07 |
Health New England Setting Facility Modifier None Typical Low $38.02 Median $158.49 Typical High $316.23 | Facility | None | $38.02 | $158.49 | $316.23 |
Health New England Setting Professional Modifier None (both parts) Typical Low $10.47 Median $15.49 Typical High $141.25 | Professional | None (both parts) | $10.47 | $15.49 | $141.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $30.90 Median $104.71 Typical High $154.88 | Facility | None | $30.90 | $104.71 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $26.92 Median $81.28 Typical High $181.97 | Professional | None (both parts) | $26.92 | $81.28 | $181.97 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $20.89 Typical High $70.79 | Professional | 26 · Professional part | $7.76 | $20.89 | $70.79 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $64.57 Typical High $154.88 | Professional | TC · Technical part | $21.88 | $64.57 | $154.88 |
Tufts Setting Facility Modifier None Typical Low $22.39 Median $107.15 Typical High $177.83 | Facility | None | $22.39 | $107.15 | $177.83 |
Tufts Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $25.70 | $36.31 | $36.31 |
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 $38.90 Typical High $69.18 | Professional | None (both parts) | $26.92 | $38.90 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $18.20 | Professional | 26 · Professional part | $7.24 | $10.23 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $28.84 | $51.29 |
Well Sense Setting Facility Modifier None Typical Low $22.39 Median $30.90 Typical High $45.71 | Facility | None | $22.39 | $30.90 | $45.71 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $5.50 Median $7.41 Typical High $12.59 | Facility | 26 · Professional part | $5.50 | $7.41 | $12.59 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $38.90 | Facility | TC · Technical part | $16.98 | $21.88 | $38.90 |
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 $10.00 Median $10.00 Typical High $14.45 | Professional | 52 · Reduced service | $10.00 | $10.00 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $5.75 | Professional | 53 · Discontinued | $3.98 | $3.98 | $5.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $16.22 Typical High $22.91 | Professional | FX · Film X-ray | $16.22 | $16.22 | $22.91 |
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 $4.27 Median $17.38 Typical High $30.20 | Professional | 52 · Reduced service | $4.27 | $17.38 | $30.20 |
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
$38.90
AK $83.18FL $22.39
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.