How much rates vary
Facilitymedian $43 · 10th to 90th $13 to $178Professionalmedian $46 · 10th to 90th $22 to $200
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 $21.88 Median $33.11 Typical High $100.00 | Facility | None | $21.88 | $33.11 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $23.44 Typical High $69.18 | Professional | None (both parts) | $21.88 | $23.44 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.32 Typical High $20.42 | Professional | 26 · Professional part | $8.13 | $8.32 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $14.79 Typical High $45.71 | Professional | TC · Technical part | $13.80 | $14.79 | $45.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $36.31 Median $114.82 Typical High $154.88 | Facility | None | $36.31 | $114.82 | $154.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $34.67 Median $93.33 Typical High $199.53 | Professional | None (both parts) | $34.67 | $93.33 | $199.53 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $24.55 Typical High $234.42 | Professional | 26 · Professional part | $9.33 | $24.55 | $234.42 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $23.99 | $66.07 | $144.54 |
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 $26.30 Median $36.31 Typical High $42.66 | Professional | None (both parts) | $26.30 | $36.31 | $42.66 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $17.78 | Professional | 26 · Professional part | $10.47 | $10.47 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $162.18 Typical High $223.87 | Facility | None | $45.71 | $162.18 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $43.65 Typical High $97.72 | Professional | None (both parts) | $41.69 | $43.65 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $28.84 | Professional | 26 · Professional part | $11.22 | $11.75 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $30.20 | $31.62 | $69.18 |
Fallon Health Setting Facility Modifier None Typical Low $12.30 Median $33.88 Typical High $56.23 | Facility | None | $12.30 | $33.88 | $56.23 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $12.30 Median $33.88 Typical High $52.48 | Professional | None (both parts) | $12.30 | $33.88 | $52.48 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $36.31 Median $60.26 Typical High $114.82 | Professional | None (both parts) | $36.31 | $60.26 | $114.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $10.47 | $16.98 | $30.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $70.79 | Professional | TC · Technical part | $26.92 | $38.02 | $70.79 |
Health New England Setting Facility Modifier None Typical Low $54.95 Median $154.88 Typical High $436.52 | Facility | None | $54.95 | $154.88 | $436.52 |
Health New England Setting Professional Modifier None (both parts) Typical Low $13.18 Median $15.85 Typical High $54.95 | Professional | None (both parts) | $13.18 | $15.85 | $54.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $36.31 Median $114.82 Typical High $154.88 | Facility | None | $36.31 | $114.82 | $154.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $34.67 Median $93.33 Typical High $199.53 | Professional | None (both parts) | $34.67 | $93.33 | $199.53 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $24.55 Typical High $234.42 | Professional | 26 · Professional part | $9.33 | $24.55 | $234.42 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $23.99 | $66.07 | $144.54 |
Tufts Setting Facility Modifier None Typical Low $24.55 Median $125.89 Typical High $457.09 | Facility | None | $24.55 | $125.89 | $457.09 |
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 $30.90 Median $45.71 Typical High $114.82 | Professional | None (both parts) | $30.90 | $45.71 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $35.48 | Professional | 26 · Professional part | $8.71 | $13.49 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $31.62 Typical High $85.11 | Professional | TC · Technical part | $21.38 | $31.62 | $85.11 |
Well Sense Setting Facility Modifier None Typical Low $24.55 Median $33.88 Typical High $50.12 | Facility | None | $24.55 | $33.88 | $50.12 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $9.77 Typical High $16.98 | Facility | 26 · Professional part | $7.24 | $9.77 | $16.98 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $40.74 | Facility | TC · Technical part | $17.38 | $22.39 | $40.74 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | None (both parts) | $22.39 | $22.39 | $26.92 |
2 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 FX · Film X-ray Typical Low $17.38 Median $17.38 Typical High $24.55 | Professional | FX · Film X-ray | $17.38 | $17.38 | $24.55 |
BCBS Massachusetts Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.05 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.05 | $1.05 | $2.34 |
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· 17th of 51
$44.67
AK $93.33FL $24.55
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.