How much rates vary
Facilitymedian $91 · 10th to 90th $44 to $427Professionalmedian $93 · 10th to 90th $49 to $479
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 $48.98 Median $48.98 Typical High $234.42 | Facility | None | $48.98 | $48.98 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $169.82 | Professional | None (both parts) | $48.98 | $61.66 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $79.43 | Professional | 26 · Professional part | $23.44 | $29.51 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $87.10 | Professional | TC · Technical part | $25.12 | $33.11 | $87.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $75.86 Median $239.88 Typical High $302.00 | Facility | None | $75.86 | $239.88 | $302.00 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $70.79 Median $218.78 Typical High $478.63 | Professional | None (both parts) | $70.79 | $218.78 | $478.63 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $109.65 Typical High $389.05 | Professional | 26 · Professional part | $33.11 | $109.65 | $389.05 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $125.89 Typical High $389.05 | Professional | TC · Technical part | $39.81 | $125.89 | $389.05 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $446.68 | Facility | None | $141.25 | $199.53 | $446.68 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $173.78 | Professional | None (both parts) | $79.43 | $79.43 | $173.78 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $37.15 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $165.96 Typical High $660.69 | Facility | None | $57.54 | $165.96 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $218.78 | Professional | None (both parts) | $83.18 | $97.72 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $43.65 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $114.82 | Professional | TC · Technical part | $44.67 | $51.29 | $114.82 |
Fallon Health Setting Facility Modifier None Typical Low $40.74 Median $54.95 Typical High $112.20 | Facility | None | $40.74 | $54.95 | $112.20 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $54.95 Typical High $112.20 | Professional | None (both parts) | $41.69 | $54.95 | $112.20 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $79.43 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $79.43 | $134.90 | $245.47 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $33.88 | $64.57 | $104.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $70.79 Typical High $109.65 | Professional | TC · Technical part | $41.69 | $70.79 | $109.65 |
Health New England Setting Facility Modifier None Typical Low $169.82 Median $741.31 Typical High $3,801.89 | Facility | None | $169.82 | $741.31 | $3,801.89 |
Health New England Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $354.81 | Professional | None (both parts) | $97.72 | $138.04 | $354.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $75.86 Median $239.88 Typical High $302.00 | Facility | None | $75.86 | $239.88 | $302.00 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $70.79 Median $218.78 Typical High $478.63 | Professional | None (both parts) | $70.79 | $218.78 | $478.63 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $109.65 Typical High $389.05 | Professional | 26 · Professional part | $33.11 | $109.65 | $389.05 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $125.89 Typical High $389.05 | Professional | TC · Technical part | $39.81 | $125.89 | $389.05 |
Tufts Setting Facility Modifier None Typical Low $54.95 Median $263.03 Typical High $4,897.79 | Facility | None | $54.95 | $263.03 | $4,897.79 |
Tufts Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $125.89 | Professional | None (both parts) | $54.95 | $70.79 | $125.89 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $229.09 | Professional | None (both parts) | $77.62 | $97.72 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $43.65 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $60.26 Typical High $123.03 | Professional | TC · Technical part | $40.74 | $60.26 | $123.03 |
Well Sense Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $104.71 | Facility | None | $51.29 | $70.79 | $104.71 |
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 $26.30 Median $34.67 Typical High $61.66 | Facility | TC · Technical part | $26.30 | $34.67 | $61.66 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $54.95 | $66.07 | $66.07 |
3 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 $24.55 Median $24.55 Typical High $39.81 | Professional | 52 · Reduced service | $24.55 | $24.55 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $15.85 | Professional | 53 · Discontinued | $9.77 | $9.77 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $38.90 Typical High $74.13 | Professional | FX · Film X-ray | $38.90 | $38.90 | $74.13 |
Where Massachusetts sits
The same service costs 4.7 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· 20th of 51
$93.33
AK $257FL $54.95
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.