How much rates vary
Facilitymedian $50 · 10th to 90th $21 to $708Professionalmedian $58 · 10th to 90th $29 to $417
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 $28.84 Median $63.10 Typical High $269.15 | Facility | None | $28.84 | $63.10 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $75.86 | Professional | None (both parts) | $28.84 | $28.84 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $23.99 | Professional | 26 · Professional part | $11.75 | $11.75 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $53.70 | Professional | TC · Technical part | $16.98 | $16.98 | $53.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $47.86 Median $151.36 Typical High $588.84 | Facility | None | $47.86 | $151.36 | $588.84 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $42.66 Median $117.49 Typical High $416.87 | Professional | None (both parts) | $42.66 | $117.49 | $416.87 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $40.74 Typical High $102.33 | Professional | 26 · Professional part | $15.85 | $40.74 | $102.33 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $81.28 Typical High $316.23 | Professional | TC · Technical part | $28.84 | $81.28 | $316.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $870.96 | Facility | None | $436.52 | $645.65 | $870.96 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $32.36 | $33.11 | $33.11 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $28.84 | Professional | 26 · Professional part | $16.60 | $16.60 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $630.96 Typical High $1,258.93 | Facility | None | $123.03 | $630.96 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $56.23 Typical High $128.82 | Professional | None (both parts) | $53.70 | $56.23 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.05 Typical High $43.65 | Professional | 26 · Professional part | $18.20 | $19.05 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $37.15 Typical High $85.11 | Professional | TC · Technical part | $35.48 | $37.15 | $85.11 |
Fallon Health Setting Facility Modifier None Typical Low $19.95 Median $40.74 Typical High $69.18 | Facility | None | $19.95 | $40.74 | $69.18 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $19.95 | $42.66 | $69.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $32.36 Median $57.54 Typical High $131.83 | Professional | None (both parts) | $32.36 | $57.54 | $131.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $46.77 | Professional | 26 · Professional part | $16.60 | $23.99 | $46.77 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $52.48 Typical High $83.18 | Professional | TC · Technical part | $29.51 | $52.48 | $83.18 |
Health New England Setting Facility Modifier None Typical Low $46.77 Median $363.08 Typical High $912.01 | Facility | None | $46.77 | $363.08 | $912.01 |
Health New England Setting Professional Modifier None (both parts) Typical Low $21.38 Median $37.15 Typical High $131.83 | Professional | None (both parts) | $21.38 | $37.15 | $131.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $47.86 Median $151.36 Typical High $588.84 | Facility | None | $47.86 | $151.36 | $588.84 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $42.66 Median $117.49 Typical High $416.87 | Professional | None (both parts) | $42.66 | $117.49 | $416.87 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $40.74 Typical High $102.33 | Professional | 26 · Professional part | $15.85 | $40.74 | $102.33 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $81.28 Typical High $316.23 | Professional | TC · Technical part | $28.84 | $81.28 | $316.23 |
United Setting Facility Modifier None Typical Low $489.78 Median $933.25 Typical High $1,380.38 | Facility | None | $489.78 | $933.25 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $112.20 | Professional | None (both parts) | $42.66 | $56.23 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.89 Typical High $37.15 | Professional | 26 · Professional part | $14.45 | $20.89 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $79.43 | Professional | TC · Technical part | $26.30 | $36.31 | $79.43 |
Well Sense Setting Facility Modifier None Typical Low $32.36 Median $44.67 Typical High $66.07 | Facility | None | $32.36 | $44.67 | $66.07 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $26.30 | Facility | 26 · Professional part | $11.22 | $14.45 | $26.30 |
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 $63.10 Median $63.10 Typical High $74.13 | Professional | None (both parts) | $63.10 | $63.10 | $74.13 |
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 $14.45 Median $14.45 Typical High $30.90 | Professional | 52 · Reduced service | $14.45 | $14.45 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $12.30 | Professional | 53 · Discontinued | $5.75 | $5.75 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $22.91 Typical High $50.12 | Professional | FX · Film X-ray | $22.91 | $22.91 | $50.12 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $8.32 Typical High $19.05 | Professional | 52 · Reduced service | $8.32 | $8.32 | $19.05 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in New York. 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· 26th of 51
$57.54
AK $115NY $30.20
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.