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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $363.08 | $363.08 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $123.03 | Professional | 26 · Professional part | $29.51 | $29.51 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | TC · Technical part | $331.13 | $331.13 | $436.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $2,290.87 | Facility | None | $537.03 | $741.31 | $2,290.87 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,047.13 Typical High $3,388.44 | Professional | None (both parts) | $436.52 | $1,047.13 | $3,388.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $79.43 Typical High $602.56 | Professional | 26 · Professional part | $37.15 | $79.43 | $602.56 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $1,318.26 Typical High $3,090.30 | Professional | TC · Technical part | $512.86 | $1,318.26 | $3,090.30 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,412.54 | Facility | None | $707.95 | $1,047.13 | $1,412.54 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $1,380.38 | Facility | None | $199.53 | $223.87 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $1,318.26 | Professional | None (both parts) | $562.34 | $562.34 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $46.77 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $1,230.27 | Professional | TC · Technical part | $524.81 | $524.81 | $1,230.27 |
Fallon Health Setting Facility Modifier None Typical Low $47.86 Median $660.69 Typical High $977.24 | Facility | None | $47.86 | $660.69 | $977.24 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $660.69 Typical High $1,023.29 | Professional | None (both parts) | $47.86 | $660.69 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,122.02 Typical High $1,778.28 | Professional | None (both parts) | $630.96 | $1,122.02 | $1,778.28 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $74.13 | $104.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $1,148.15 Typical High $1,659.59 | Professional | TC · Technical part | $602.56 | $1,148.15 | $1,659.59 |
Health New England Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,819.70 | Facility | None | $1,621.81 | $1,621.81 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $2,290.87 | Facility | None | $537.03 | $741.31 | $2,290.87 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,047.13 Typical High $3,388.44 | Professional | None (both parts) | $436.52 | $1,047.13 | $3,388.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $79.43 Typical High $602.56 | Professional | 26 · Professional part | $37.15 | $79.43 | $602.56 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $1,318.26 Typical High $3,090.30 | Professional | TC · Technical part | $512.86 | $1,318.26 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $549.54 Median $831.76 Typical High $1,445.44 | Professional | None (both parts) | $549.54 | $831.76 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $52.48 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $776.25 Typical High $1,348.96 | Professional | TC · Technical part | $512.86 | $776.25 | $1,348.96 |
Well Sense Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $912.01 | Facility | None | $457.09 | $562.34 | $912.01 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $57.54 | Facility | 26 · Professional part | $27.54 | $36.31 | $57.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $524.81 Typical High $891.25 | Facility | TC · Technical part | $436.52 | $524.81 | $891.25 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | None (both parts) | $426.58 | $426.58 | $512.86 |
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 $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | FX · Film X-ray | $288.40 | $288.40 | $288.40 |
Where Massachusetts sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 7th of 51
$759
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.