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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $75.86 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | TC · Technical part | $52.48 | $52.48 | $63.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $158.49 Median $208.93 Typical High $660.69 | Facility | None | $158.49 | $208.93 | $660.69 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $165.96 Median $426.58 Typical High $1,047.13 | Professional | None (both parts) | $165.96 | $426.58 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $251.19 Typical High $630.96 | Professional | 26 · Professional part | $104.71 | $251.19 | $630.96 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $213.80 Typical High $776.25 | Professional | TC · Technical part | $81.28 | $213.80 | $776.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $512.86 | Facility | None | $257.04 | $371.54 | $512.86 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $125.89 | $125.89 | $131.83 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $186.21 Typical High $257.04 | Professional | 26 · Professional part | $114.82 | $186.21 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $213.80 Typical High $239.88 | Facility | None | $199.53 | $213.80 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $457.09 | Professional | None (both parts) | $208.93 | $208.93 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $275.42 | Professional | 26 · Professional part | $125.89 | $125.89 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $85.11 | $177.83 |
Fallon Health Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $275.42 | Facility | None | $95.50 | $141.25 | $275.42 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $104.71 | $162.18 | $288.40 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $190.55 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $190.55 | $398.11 | $537.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $223.87 Typical High $288.40 | Professional | 26 · Professional part | $112.20 | $223.87 | $288.40 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $85.11 | $181.97 | $239.88 |
Health New England Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $251.19 | Facility | None | $120.23 | $120.23 | $251.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $158.49 Median $208.93 Typical High $660.69 | Facility | None | $158.49 | $208.93 | $660.69 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $165.96 Median $426.58 Typical High $1,047.13 | Professional | None (both parts) | $165.96 | $426.58 | $1,047.13 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $251.19 Typical High $630.96 | Professional | 26 · Professional part | $104.71 | $251.19 | $630.96 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $213.80 Typical High $776.25 | Professional | TC · Technical part | $81.28 | $213.80 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $165.96 | $239.88 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $208.93 | Professional | 26 · Professional part | $95.50 | $131.83 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $104.71 | $190.55 |
Well Sense Setting Facility Modifier None Typical Low $134.90 Median $173.78 Typical High $263.03 | Facility | None | $134.90 | $173.78 | $263.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $147.91 | Facility | 26 · Professional part | $72.44 | $97.72 | $147.91 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $128.82 | Facility | TC · Technical part | $61.66 | $77.62 | $128.82 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $141.25 | $141.25 | $190.55 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $77.62 | $81.28 | $104.71 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | TC · Technical part | $56.23 | $56.23 | $75.86 |
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 $64.57 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | 53 · Discontinued | $25.70 | $25.70 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $102.33 | $102.33 | $102.33 |
Where Massachusetts sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 9th of 51
$245
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.