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 $125.89 Median $125.89 Typical High $977.24 | Facility | None | $125.89 | $125.89 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $257.04 | Professional | None (both parts) | $125.89 | $125.89 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $41.69 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $85.11 | $199.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $537.03 Typical High $10,232.93 | Facility | None | $162.18 | $537.03 | $10,232.93 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $154.88 Median $501.19 Typical High $3,162.28 | Professional | None (both parts) | $154.88 | $501.19 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $134.90 Typical High $645.65 | Professional | 26 · Professional part | $53.70 | $134.90 | $645.65 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $109.65 | $489.78 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5,011.87 Median $7,244.36 Typical High $10,000.00 | Facility | None | $5,011.87 | $7,244.36 | $10,000.00 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | None (both parts) | $112.20 | $112.20 | $114.82 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $54.95 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $8,511.38 Typical High $14,454.40 | Facility | None | $724.44 | $8,511.38 | $14,454.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $489.78 | Professional | None (both parts) | $186.21 | $194.98 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $64.57 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $407.38 | Professional | TC · Technical part | $125.89 | $131.83 | $407.38 |
Fallon Health Setting Facility Modifier None Typical Low $66.07 Median $131.83 Typical High $239.88 | Facility | None | $66.07 | $131.83 | $239.88 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $66.07 | $147.91 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $173.78 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $173.78 | $316.23 | $575.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $91.20 | $158.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $346.74 | Professional | TC · Technical part | $112.20 | $199.53 | $346.74 |
Health New England Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Health New England Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $537.03 Typical High $10,232.93 | Facility | None | $162.18 | $537.03 | $10,232.93 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $154.88 Median $501.19 Typical High $3,162.28 | Professional | None (both parts) | $154.88 | $501.19 | $3,162.28 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $134.90 Typical High $645.65 | Professional | 26 · Professional part | $53.70 | $134.90 | $645.65 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $489.78 Typical High $2,884.03 | Professional | TC · Technical part | $109.65 | $489.78 | $2,884.03 |
United Setting Facility Modifier None Typical Low $7,762.47 Median $14,791.08 Typical High $21,877.62 | Facility | None | $7,762.47 | $14,791.08 | $21,877.62 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $575.44 | Professional | None (both parts) | $158.49 | $218.78 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $70.79 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $489.78 | Professional | TC · Technical part | $104.71 | $138.04 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $229.09 | Facility | None | $112.20 | $154.88 | $229.09 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $89.13 | Facility | 26 · Professional part | $38.02 | $50.12 | $89.13 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $169.82 | Facility | TC · Technical part | $72.44 | $95.50 | $169.82 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $199.53 | $199.53 | $239.88 |
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 $63.10 Median $63.10 Typical High $117.49 | Professional | 52 · Reduced service | $63.10 | $63.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $46.77 | Professional | 53 · Discontinued | $25.12 | $25.12 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $186.21 | Professional | FX · Film X-ray | $102.33 | $102.33 | $186.21 |
Where Massachusetts sits
The same service costs 4.2 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· 23rd of 51
$219
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.