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 $93.33 Median $478.63 Typical High $1,288.25 | Facility | None | $93.33 | $478.63 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $295.12 | Professional | None (both parts) | $93.33 | $93.33 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $128.82 | Professional | 26 · Professional part | $43.65 | $43.65 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $165.96 | Professional | TC · Technical part | $50.12 | $50.12 | $165.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $416.87 | Facility | None | $97.72 | $134.90 | $416.87 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $125.89 Median $295.12 Typical High $1,548.82 | Professional | None (both parts) | $125.89 | $295.12 | $1,548.82 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $144.54 Typical High $691.83 | Professional | 26 · Professional part | $58.88 | $144.54 | $691.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $169.82 Typical High $1,230.27 | Professional | TC · Technical part | $69.18 | $169.82 | $1,230.27 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $114.82 Median $165.96 Typical High $229.09 | Facility | None | $114.82 | $165.96 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $70.79 Median $72.44 Typical High $389.05 | Professional | None (both parts) | $70.79 | $72.44 | $389.05 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $60.26 | $91.20 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $371.54 | Facility | None | $295.12 | $331.13 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $354.81 | Professional | None (both parts) | $147.91 | $151.36 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $194.98 | Professional | TC · Technical part | $79.43 | $79.43 | $194.98 |
Fallon Health Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $186.21 | Facility | None | $67.61 | $89.13 | $186.21 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $69.18 | $93.33 | $186.21 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $134.90 | $234.42 | $338.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $64.57 | $114.82 | $162.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $70.79 | $125.89 | $173.78 |
Health New England Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $1,778.28 | Facility | None | $158.49 | $158.49 | $1,778.28 |
Mass General Brigham Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $416.87 | Facility | None | $97.72 | $134.90 | $416.87 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $125.89 Median $295.12 Typical High $1,548.82 | Professional | None (both parts) | $125.89 | $295.12 | $1,548.82 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $144.54 Typical High $691.83 | Professional | 26 · Professional part | $58.88 | $144.54 | $691.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $169.82 Typical High $1,230.27 | Professional | TC · Technical part | $69.18 | $169.82 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $138.04 | $169.82 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $77.62 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $91.20 | $162.18 |
Well Sense Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $177.83 | Facility | None | $87.10 | $120.23 | $177.83 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $95.50 | Facility | 26 · Professional part | $40.74 | $52.48 | $95.50 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $107.15 | Facility | TC · Technical part | $46.77 | $60.26 | $107.15 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | None (both parts) | $107.15 | $107.15 | $128.82 |
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 $46.77 Median $46.77 Typical High $239.88 | Professional | 52 · Reduced service | $46.77 | $46.77 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $95.50 | Professional | 53 · Discontinued | $18.62 | $18.62 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $380.19 | Professional | FX · Film X-ray | $74.13 | $74.13 | $380.19 |
Where Massachusetts sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 20th of 51
$158
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.