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 $162.18 Median $162.18 Typical High $478.63 | Facility | None | $162.18 | $162.18 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $478.63 | Professional | None (both parts) | $154.88 | $162.18 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $213.80 | Professional | 26 · Professional part | $67.61 | $67.61 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $213.80 | Professional | TC · Technical part | $70.79 | $93.33 | $213.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $134.90 Median $645.65 Typical High $758.58 | Facility | None | $134.90 | $645.65 | $758.58 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $169.82 Median $549.54 Typical High $1,230.27 | Professional | None (both parts) | $169.82 | $549.54 | $1,230.27 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $229.09 Typical High $588.84 | Professional | 26 · Professional part | $89.13 | $229.09 | $588.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $323.59 Typical High $707.95 | Professional | TC · Technical part | $89.13 | $323.59 | $707.95 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $199.53 Median $288.40 Typical High $398.11 | Facility | None | $199.53 | $288.40 | $398.11 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $144.54 | $162.18 | $239.88 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $95.50 | $95.50 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $389.05 Typical High $501.19 | Facility | None | $117.49 | $389.05 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $257.04 Typical High $616.60 | Professional | None (both parts) | $245.47 | $257.04 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $251.19 | Professional | 26 · Professional part | $102.33 | $107.15 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $147.91 Typical High $354.81 | Professional | TC · Technical part | $141.25 | $147.91 | $354.81 |
Fallon Health Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $323.59 | Facility | None | $107.15 | $154.88 | $323.59 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $109.65 | $173.78 | $323.59 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $199.53 | $398.11 | $588.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $181.97 Typical High $257.04 | Professional | 26 · Professional part | $91.20 | $181.97 | $257.04 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $114.82 | $229.09 | $338.84 |
Health New England Setting Facility Modifier None Typical Low $234.42 Median $275.42 Typical High $1,174.90 | Facility | None | $234.42 | $275.42 | $1,174.90 |
Health New England Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $134.90 Median $645.65 Typical High $758.58 | Facility | None | $134.90 | $645.65 | $758.58 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $169.82 Median $549.54 Typical High $1,230.27 | Professional | None (both parts) | $169.82 | $549.54 | $1,230.27 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $229.09 Typical High $588.84 | Professional | 26 · Professional part | $89.13 | $229.09 | $588.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $323.59 Typical High $707.95 | Professional | TC · Technical part | $89.13 | $323.59 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $537.03 | Professional | None (both parts) | $151.36 | $257.04 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $245.47 | Professional | 26 · Professional part | $83.18 | $112.20 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $151.36 Typical High $331.13 | Professional | TC · Technical part | $66.07 | $151.36 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $147.91 Median $208.93 Typical High $309.03 | Facility | None | $147.91 | $208.93 | $309.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $147.91 | Facility | 26 · Professional part | $63.10 | $81.28 | $147.91 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $199.53 | Facility | TC · Technical part | $87.10 | $112.20 | $199.53 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $154.88 | $154.88 | $186.21 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $85.11 | Professional | 26 · Professional part | $66.07 | $70.79 | $85.11 |
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 $81.28 Median $81.28 Typical High $144.54 | Professional | 52 · Reduced service | $81.28 | $81.28 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $58.88 | Professional | 53 · Discontinued | $32.36 | $32.36 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $380.19 | Professional | FX · Film X-ray | $128.82 | $128.82 | $380.19 |
Where Massachusetts sits
The same service costs 5.8 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· 12th of 51
$275
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.