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 $478.63 Median $2,137.96 Typical High $2,137.96 | Facility | None | $478.63 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $575.44 | Professional | None (both parts) | $426.58 | $478.63 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $141.25 | $194.98 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $338.84 | $416.87 | $416.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $524.81 Median $1,621.81 Typical High $6,165.95 | Facility | None | $524.81 | $1,621.81 | $6,165.95 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $138.04 Median $616.60 Typical High $645.65 | Facility | 26 · Professional part | $138.04 | $616.60 | $645.65 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $169.82 Median $2,398.83 Typical High $7,079.46 | Professional | None (both parts) | $169.82 | $2,398.83 | $7,079.46 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $426.58 Typical High $1,659.59 | Professional | 26 · Professional part | $154.88 | $426.58 | $1,659.59 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $3,801.89 Typical High $6,918.31 | Professional | TC · Technical part | $398.11 | $3,801.89 | $6,918.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $776.25 Median $1,412.54 Typical High $2,187.76 | Facility | None | $776.25 | $1,412.54 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $2,818.38 Typical High $5,248.07 | Facility | None | $275.42 | $2,818.38 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,862.09 Typical High $4,570.88 | Professional | None (both parts) | $1,479.11 | $1,862.09 | $4,570.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $190.55 Typical High $457.09 | Professional | 26 · Professional part | $181.97 | $190.55 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,698.24 Typical High $4,073.80 | Professional | TC · Technical part | $1,412.54 | $1,698.24 | $4,073.80 |
Fallon Health Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $2,344.23 | Facility | None | $173.78 | $234.42 | $2,344.23 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $2,089.30 | Professional | None (both parts) | $194.98 | $251.19 | $2,089.30 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,698.24 Typical High $3,981.07 | Professional | None (both parts) | $630.96 | $1,698.24 | $3,981.07 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $295.12 Typical High $489.78 | Professional | 26 · Professional part | $165.96 | $295.12 | $489.78 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $1,513.56 Typical High $3,548.13 | Professional | TC · Technical part | $512.86 | $1,513.56 | $3,548.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $1,621.81 Typical High $6,165.95 | Facility | None | $524.81 | $1,621.81 | $6,165.95 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $138.04 Median $616.60 Typical High $645.65 | Facility | 26 · Professional part | $138.04 | $616.60 | $645.65 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $169.82 Median $2,398.83 Typical High $7,079.46 | Professional | None (both parts) | $169.82 | $2,398.83 | $7,079.46 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $426.58 Typical High $1,659.59 | Professional | 26 · Professional part | $154.88 | $426.58 | $1,659.59 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $3,801.89 Typical High $6,918.31 | Professional | TC · Technical part | $398.11 | $3,801.89 | $6,918.31 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,137.96 | Facility | None | $758.58 | $1,445.44 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $870.96 Typical High $2,238.72 | Professional | None (both parts) | $338.84 | $870.96 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $213.80 Typical High $489.78 | Professional | 26 · Professional part | $134.90 | $213.80 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $691.83 Typical High $1,737.80 | Professional | TC · Technical part | $213.80 | $691.83 | $1,737.80 |
Well Sense Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $707.95 | Facility | None | $194.98 | $194.98 | $707.95 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $114.82 Median $147.91 Typical High $234.42 | Facility | 26 · Professional part | $114.82 | $147.91 | $234.42 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $812.83 | Facility | TC · Technical part | $398.11 | $501.19 | $812.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | None (both parts) | $707.95 | $707.95 | $851.14 |
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 $223.87 Median $239.88 Typical High $263.03 | Professional | 52 · Reduced service | $223.87 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $104.71 | Professional | 53 · Discontinued | $89.13 | $95.50 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | FX · Film X-ray | $389.05 | $389.05 | $389.05 |
Where Massachusetts sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 6th of 51
$1,622
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.