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 $144.54 Median $144.54 Typical High $1,096.48 | Facility | None | $144.54 | $144.54 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $144.54 | $144.54 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $138.04 | Professional | 26 · Professional part | $46.77 | $46.77 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $223.87 | Professional | TC · Technical part | $89.13 | $100.00 | $223.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $181.97 Median $588.84 Typical High $6,165.95 | Facility | None | $181.97 | $588.84 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $169.82 Median $478.63 Typical High $3,235.94 | Professional | None (both parts) | $169.82 | $478.63 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $239.88 Typical High $676.08 | Professional | 26 · Professional part | $75.86 | $239.88 | $676.08 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $87.10 | $489.78 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,019.95 Median $4,365.16 Typical High $6,025.60 | Facility | None | $3,019.95 | $4,365.16 | $6,025.60 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $87.10 | $89.13 | $89.13 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $100.00 | $100.00 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $5,495.41 Typical High $13,489.63 | Facility | None | $831.76 | $5,495.41 | $13,489.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $549.54 | Professional | None (both parts) | $204.17 | $213.80 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $269.15 | Professional | 26 · Professional part | $77.62 | $114.82 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $331.13 | Professional | TC · Technical part | $97.72 | $100.00 | $331.13 |
Fallon Health Setting Facility Modifier None Typical Low $95.50 Median $123.03 Typical High $269.15 | Facility | None | $95.50 | $123.03 | $269.15 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $100.00 | $134.90 | $269.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $194.98 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $194.98 | $363.08 | $602.56 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $158.49 Typical High $281.84 | Professional | 26 · Professional part | $97.72 | $158.49 | $281.84 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $87.10 | $162.18 | $288.40 |
Health New England Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,623.41 | Facility | None | $4,073.80 | $4,073.80 | $5,623.41 |
Health New England Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $173.78 | $173.78 | $239.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $181.97 Median $588.84 Typical High $6,165.95 | Facility | None | $181.97 | $588.84 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $169.82 Median $478.63 Typical High $3,235.94 | Professional | None (both parts) | $169.82 | $478.63 | $3,235.94 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $239.88 Typical High $676.08 | Professional | 26 · Professional part | $75.86 | $239.88 | $676.08 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $87.10 | $489.78 | $2,884.03 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $8,317.64 Typical High $12,302.69 | Facility | None | $4,365.16 | $8,317.64 | $12,302.69 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $575.44 | Professional | None (both parts) | $181.97 | $245.47 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $120.23 Typical High $218.78 | Professional | 26 · Professional part | $67.61 | $120.23 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $501.19 | Professional | TC · Technical part | $85.11 | $114.82 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $257.04 | Facility | None | $123.03 | $173.78 | $257.04 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $154.88 | Facility | 26 · Professional part | $66.07 | $87.10 | $154.88 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $134.90 | Facility | TC · Technical part | $57.54 | $74.13 | $134.90 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | None (both parts) | $229.09 | $229.09 | $275.42 |
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 $72.44 Median $72.44 Typical High $138.04 | Professional | 52 · Reduced service | $72.44 | $72.44 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $54.95 | Professional | 53 · Discontinued | $28.84 | $28.84 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $218.78 | Professional | FX · Film X-ray | $117.49 | $117.49 | $218.78 |
Where Massachusetts sits
The same service costs 5.1 times more in Alaska than in Utah. 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· 29th of 51
$240
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.