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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $281.84 | $281.84 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $25.12 | Professional | 26 · Professional part | $17.38 | $17.38 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $407.38 | Professional | TC · Technical part | $275.42 | $275.42 | $407.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $102.33 Median $309.03 Typical High $1,148.15 | Facility | None | $102.33 | $309.03 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $64.57 Median $691.83 Typical High $1,380.38 | Professional | None (both parts) | $64.57 | $691.83 | $1,380.38 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $60.26 Typical High $141.25 | Professional | 26 · Professional part | $23.44 | $60.26 | $141.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $691.83 Typical High $1,288.25 | Professional | TC · Technical part | $75.86 | $691.83 | $1,288.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $575.44 Median $831.76 Typical High $1,148.15 | Facility | None | $575.44 | $831.76 | $1,148.15 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $72.44 | Professional | None (both parts) | $39.81 | $39.81 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $933.25 Typical High $1,659.59 | Facility | None | $151.36 | $933.25 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $72.44 Typical High $173.78 | Professional | None (both parts) | $69.18 | $72.44 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $64.57 | Professional | 26 · Professional part | $25.70 | $27.54 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $45.71 Typical High $107.15 | Professional | TC · Technical part | $44.67 | $45.71 | $107.15 |
Fallon Health Setting Facility Modifier None Typical Low $28.84 Median $75.86 Typical High $131.83 | Facility | None | $28.84 | $75.86 | $131.83 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $28.84 | $81.28 | $138.04 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $95.50 Median $229.09 Typical High $954.99 | Professional | None (both parts) | $95.50 | $229.09 | $954.99 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $38.02 | $67.61 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $169.82 Typical High $812.83 | Professional | TC · Technical part | $79.43 | $169.82 | $812.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $102.33 Median $309.03 Typical High $1,148.15 | Facility | None | $102.33 | $309.03 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $64.57 Median $691.83 Typical High $1,380.38 | Professional | None (both parts) | $64.57 | $691.83 | $1,380.38 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $60.26 Typical High $141.25 | Professional | 26 · Professional part | $23.44 | $60.26 | $141.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $691.83 Typical High $1,288.25 | Professional | TC · Technical part | $75.86 | $691.83 | $1,288.25 |
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 $77.62 Median $691.83 Typical High $1,318.26 | Professional | None (both parts) | $77.62 | $691.83 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $30.90 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $660.69 Typical High $1,288.25 | Professional | TC · Technical part | $53.70 | $660.69 | $1,288.25 |
Well Sense Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $128.82 | Facility | None | $67.61 | $79.43 | $128.82 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $16.22 Median $20.89 Typical High $37.15 | Facility | 26 · Professional part | $16.22 | $20.89 | $37.15 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $478.63 Typical High $912.01 | Facility | TC · Technical part | $58.88 | $478.63 | $912.01 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None (both parts) | $64.57 | $64.57 | $77.62 |
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 $141.25 Median $141.25 Typical High $186.21 | Professional | 52 · Reduced service | $141.25 | $141.25 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | 53 · Discontinued | $56.23 | $56.23 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $223.87 | $223.87 | $223.87 |
Where Massachusetts sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 32nd of 51
$170
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.