How much rates vary
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 $28.18 Median $28.18 Typical High $123.03 | Facility | None | $28.18 | $28.18 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $28.18 | $28.18 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $9.12 | Professional | 26 · Professional part | $6.92 | $6.92 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $30.90 | Professional | TC · Technical part | $21.38 | $21.38 | $30.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $39.81 Median $134.90 Typical High $288.40 | Facility | None | $39.81 | $134.90 | $288.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $35.48 Median $104.71 Typical High $245.47 | Professional | None (both parts) | $35.48 | $104.71 | $245.47 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $21.88 Typical High $93.33 | Professional | 26 · Professional part | $8.51 | $21.88 | $93.33 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $89.13 Typical High $190.55 | Professional | TC · Technical part | $30.20 | $89.13 | $190.55 |
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 $35.48 Median $35.48 Typical High $36.31 | Professional | None (both parts) | $35.48 | $35.48 | $36.31 |
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 $41.69 Median $51.29 Typical High $120.23 | Professional | None (both parts) | $41.69 | $51.29 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.23 Typical High $23.99 | Professional | 26 · Professional part | $9.55 | $10.23 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $41.69 Typical High $97.72 | Professional | TC · Technical part | $36.31 | $41.69 | $97.72 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $40.74 Typical High $61.66 | Facility | None | $10.72 | $40.74 | $61.66 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $42.66 Typical High $61.66 | Professional | None (both parts) | $10.72 | $42.66 | $61.66 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $39.81 Median $67.61 Typical High $123.03 | Professional | None (both parts) | $39.81 | $67.61 | $123.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $14.45 Typical High $25.12 | Professional | 26 · Professional part | $9.12 | $14.45 | $25.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $50.12 Typical High $89.13 | Professional | TC · Technical part | $31.62 | $50.12 | $89.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $39.81 Median $134.90 Typical High $288.40 | Facility | None | $39.81 | $134.90 | $288.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $35.48 Median $104.71 Typical High $245.47 | Professional | None (both parts) | $35.48 | $104.71 | $245.47 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $21.88 Typical High $93.33 | Professional | 26 · Professional part | $8.51 | $21.88 | $93.33 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $89.13 Typical High $190.55 | Professional | TC · Technical part | $30.20 | $89.13 | $190.55 |
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 $35.48 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $35.48 | $50.12 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $20.42 | Professional | 26 · Professional part | $7.94 | $11.22 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $75.86 | Professional | TC · Technical part | $27.54 | $39.81 | $75.86 |
Well Sense Setting Facility Modifier None Typical Low $29.51 Median $40.74 Typical High $61.66 | Facility | None | $29.51 | $40.74 | $61.66 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $7.76 Typical High $13.80 | Facility | 26 · Professional part | $6.03 | $7.76 | $13.80 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $54.95 | Facility | TC · Technical part | $23.99 | $30.90 | $54.95 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | None (both parts) | $29.51 | $29.51 | $35.48 |
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 $14.13 Median $14.13 Typical High $19.95 | Professional | 52 · Reduced service | $14.13 | $14.13 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $8.13 | Professional | 53 · Discontinued | $5.62 | $5.62 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $22.91 Typical High $32.36 | Professional | FX · Film X-ray | $22.91 | $22.91 | $32.36 |
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· 16th of 51
$51.29
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.