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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $120.23 | Professional | None (both parts) | $97.72 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $158.49 | Professional | 26 · Professional part | $50.12 | $50.12 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | TC · Technical part | $47.86 | $47.86 | $54.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $512.86 | Facility | None | $120.23 | $162.18 | $512.86 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $125.89 Median $331.13 Typical High $741.31 | Professional | None (both parts) | $125.89 | $331.13 | $741.31 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $162.18 Typical High $407.38 | Professional | 26 · Professional part | $67.61 | $162.18 | $407.38 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $199.53 Typical High $562.34 | Professional | TC · Technical part | $75.86 | $199.53 | $562.34 |
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 $67.61 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $67.61 | $67.61 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $213.80 Typical High $239.88 | Facility | None | $177.83 | $213.80 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $154.88 | $154.88 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $79.43 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $154.88 | Professional | TC · Technical part | $74.13 | $74.13 | $154.88 |
Fallon Health Setting Facility Modifier None Typical Low $77.62 Median $104.71 Typical High $213.80 | Facility | None | $77.62 | $104.71 | $213.80 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $81.28 | $117.49 | $218.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $144.54 | $309.03 | $407.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $70.79 | $134.90 | $190.55 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $77.62 | $169.82 | $218.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $512.86 | Facility | None | $120.23 | $162.18 | $512.86 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $125.89 Median $331.13 Typical High $741.31 | Professional | None (both parts) | $125.89 | $331.13 | $741.31 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $162.18 Typical High $407.38 | Professional | 26 · Professional part | $67.61 | $162.18 | $407.38 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $199.53 Typical High $562.34 | Professional | TC · Technical part | $75.86 | $199.53 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $125.89 | $181.97 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $85.11 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $63.10 | $97.72 | $177.83 |
Well Sense Setting Facility Modifier None Typical Low $61.66 Median $131.83 Typical High $181.97 | Facility | None | $61.66 | $131.83 | $181.97 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $109.65 | Facility | 26 · Professional part | $47.86 | $58.88 | $109.65 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $117.49 | Facility | TC · Technical part | $57.54 | $69.18 | $117.49 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $107.15 | $107.15 | $144.54 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $52.48 | $69.18 |
Well Sense Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $70.79 | Professional | TC · Technical part | $52.48 | $52.48 | $70.79 |
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 $48.98 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $48.98 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $19.50 | $19.50 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $77.62 | $77.62 | $77.62 |
Where Massachusetts sits
The same service costs 4.5 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· 7th of 51
$191
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.