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 $17.78 Median $51.29 Typical High $1,288.25 | Facility | None | $17.78 | $51.29 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $22.39 Typical High $79.43 | Professional | None (both parts) | $17.78 | $22.39 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.12 Typical High $23.44 | Professional | 26 · Professional part | $7.24 | $9.12 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $13.18 Typical High $67.61 | Professional | TC · Technical part | $10.23 | $13.18 | $67.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $22.91 Median $104.71 Typical High $112.20 | Facility | None | $22.91 | $104.71 | $112.20 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $36.31 Typical High $38.90 | Facility | 26 · Professional part | $8.51 | $36.31 | $38.90 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $69.18 Typical High $74.13 | Facility | TC · Technical part | $14.45 | $69.18 | $74.13 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $26.92 Median $102.33 Typical High $812.83 | Professional | None (both parts) | $26.92 | $102.33 | $812.83 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $24.55 Typical High $131.83 | Professional | 26 · Professional part | $9.55 | $24.55 | $131.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $66.07 Typical High $741.31 | Professional | TC · Technical part | $15.85 | $66.07 | $741.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $23.44 Median $34.67 Typical High $46.77 | Facility | None | $23.44 | $34.67 | $46.77 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $38.02 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $38.02 | $77.62 | $102.33 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $17.78 | Professional | 26 · Professional part | $10.47 | $10.47 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $263.03 Typical High $288.40 | Facility | None | $245.47 | $263.03 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $34.67 Typical High $109.65 | Professional | None (both parts) | $33.11 | $34.67 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $27.54 | Professional | 26 · Professional part | $11.22 | $11.75 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $72.44 | Professional | TC · Technical part | $20.42 | $22.91 | $72.44 |
Fallon Health Setting Facility Modifier None Typical Low $12.02 Median $24.55 Typical High $41.69 | Facility | None | $12.02 | $24.55 | $41.69 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $12.30 Median $25.70 Typical High $41.69 | Professional | None (both parts) | $12.30 | $25.70 | $41.69 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $25.70 Median $53.70 Typical High $107.15 | Professional | None (both parts) | $25.70 | $53.70 | $107.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.85 Typical High $30.20 | Professional | 26 · Professional part | $10.72 | $15.85 | $30.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $33.88 Typical High $69.18 | Professional | TC · Technical part | $16.60 | $33.88 | $69.18 |
Health New England Setting Facility Modifier None Typical Low $32.36 Median $57.54 Typical High $371.54 | Facility | None | $32.36 | $57.54 | $371.54 |
Health New England Setting Professional Modifier None (both parts) Typical Low $13.49 Median $15.49 Typical High $83.18 | Professional | None (both parts) | $13.49 | $15.49 | $83.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $22.91 Median $104.71 Typical High $112.20 | Facility | None | $22.91 | $104.71 | $112.20 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $36.31 Typical High $38.90 | Facility | 26 · Professional part | $8.51 | $36.31 | $38.90 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $69.18 Typical High $74.13 | Facility | TC · Technical part | $14.45 | $69.18 | $74.13 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $26.92 Median $102.33 Typical High $812.83 | Professional | None (both parts) | $26.92 | $102.33 | $812.83 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $24.55 Typical High $131.83 | Professional | 26 · Professional part | $9.55 | $24.55 | $131.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $66.07 Typical High $741.31 | Professional | TC · Technical part | $15.85 | $66.07 | $741.31 |
Tufts Setting Facility Modifier None Typical Low $18.62 Median $61.66 Typical High $489.78 | Facility | None | $18.62 | $61.66 | $489.78 |
Tufts Setting Professional Modifier None (both parts) Typical Low $23.44 Median $47.86 Typical High $70.79 | Professional | None (both parts) | $23.44 | $47.86 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $147.91 | Professional | None (both parts) | $24.55 | $35.48 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $26.92 | Professional | 26 · Professional part | $9.33 | $13.18 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.42 Typical High $125.89 | Professional | TC · Technical part | $14.13 | $20.42 | $125.89 |
Well Sense Setting Facility Modifier None Typical Low $11.75 Median $18.62 Typical High $38.02 | Facility | None | $11.75 | $18.62 | $38.02 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $11.22 | Facility | 26 · Professional part | $6.92 | $8.32 | $11.22 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $11.75 Median $16.60 Typical High $27.54 | Facility | TC · Technical part | $11.75 | $16.60 | $27.54 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | None (both parts) | $60.26 | $60.26 | $72.44 |
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 FX · Film X-ray Typical Low $14.13 Median $14.13 Typical High $54.95 | Professional | FX · Film X-ray | $14.13 | $14.13 | $54.95 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $11.75 | Professional | 52 · Reduced service | $5.25 | $5.25 | $11.75 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $5.89 | Professional | 53 · Discontinued | $2.63 | $2.63 | $5.89 |
Where Massachusetts sits
The same service costs 4.8 times more in Kansas than in New York. 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
$35.48
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.