How much rates vary
Facilitymedian $145 · 10th to 90th $48 to $363Professionalmedian $162 · 10th to 90th $55 to $776
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 $97.72 Median $125.89 Typical High $407.38 | Facility | None | $97.72 | $125.89 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $97.72 | $112.20 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $81.28 | Professional | 26 · Professional part | $25.70 | $29.51 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $234.42 | Professional | TC · Technical part | $70.79 | $79.43 | $234.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $109.65 Median $331.13 Typical High $446.68 | Facility | None | $109.65 | $331.13 | $446.68 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $109.65 Median $338.84 Typical High $776.25 | Professional | None (both parts) | $109.65 | $338.84 | $776.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $87.10 Typical High $302.00 | Professional | 26 · Professional part | $34.67 | $87.10 | $302.00 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $81.28 | $251.19 | $575.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $75.86 Median $162.18 Typical High $229.09 | Facility | None | $75.86 | $162.18 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $138.04 | $151.36 | $234.42 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $36.31 | $36.31 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $354.81 Typical High $602.56 | Facility | None | $138.04 | $354.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $389.05 | Professional | None (both parts) | $138.04 | $162.18 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $41.69 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $120.23 | $288.40 |
Fallon Health Setting Facility Modifier None Typical Low $42.66 Median $123.03 Typical High $194.98 | Facility | None | $42.66 | $123.03 | $194.98 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $42.66 | $128.82 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $123.03 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $123.03 | $245.47 | $371.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $67.61 | $97.72 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $177.83 Typical High $269.15 | Professional | TC · Technical part | $91.20 | $177.83 | $269.15 |
Health New England Setting Facility Modifier None Typical Low $169.82 Median $275.42 Typical High $776.25 | Facility | None | $169.82 | $275.42 | $776.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $46.77 Median $63.10 Typical High $199.53 | Professional | None (both parts) | $46.77 | $63.10 | $199.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $109.65 Median $331.13 Typical High $446.68 | Facility | None | $109.65 | $331.13 | $446.68 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $109.65 Median $338.84 Typical High $776.25 | Professional | None (both parts) | $109.65 | $338.84 | $776.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $87.10 Typical High $302.00 | Professional | 26 · Professional part | $34.67 | $87.10 | $302.00 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $81.28 | $251.19 | $575.44 |
Tufts Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $407.38 | Facility | None | $83.18 | $138.04 | $407.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $69.18 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $69.18 | $134.90 | $239.88 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $95.50 | $158.49 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $95.50 | Professional | 26 · Professional part | $31.62 | $43.65 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $117.49 Typical High $263.03 | Professional | TC · Technical part | $66.07 | $117.49 | $263.03 |
Well Sense Setting Facility Modifier None Typical Low $95.50 Median $131.83 Typical High $194.98 | Facility | None | $95.50 | $131.83 | $194.98 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $57.54 | Facility | 26 · Professional part | $24.55 | $32.36 | $57.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $91.20 Typical High $162.18 | Facility | TC · Technical part | $70.79 | $91.20 | $162.18 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $95.50 | $95.50 | $114.82 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $31.62 | Professional | 26 · Professional part | $25.70 | $26.30 | $31.62 |
6 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 $48.98 Median $48.98 Typical High $89.13 | Professional | 52 · Reduced service | $48.98 | $48.98 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $35.48 | Professional | 53 · Discontinued | $19.50 | $19.50 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $323.59 | Professional | FX · Film X-ray | $77.62 | $77.62 | $323.59 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $64.57 Median $81.28 Typical High $114.82 | Facility | 52 · Reduced service | $64.57 | $81.28 | $114.82 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $69.18 Typical High $151.36 | Professional | 52 · Reduced service | $18.20 | $69.18 | $151.36 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $52.48 Typical High $77.62 | Professional | 53 · Discontinued | $9.12 | $52.48 | $77.62 |
Where Massachusetts sits
The same service costs 3.6 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· 15th of 51
$162
AK $355FL $97.72
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.