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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | None (both parts) | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $32.36 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $104.71 Median $295.12 Typical High $524.81 | Facility | None | $104.71 | $295.12 | $524.81 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $102.33 Median $380.19 Typical High $1,258.93 | Professional | None (both parts) | $102.33 | $380.19 | $1,258.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $107.15 Typical High $575.44 | Professional | 26 · Professional part | $42.66 | $107.15 | $575.44 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $331.13 Typical High $794.33 | Professional | TC · Technical part | $93.33 | $331.13 | $794.33 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $524.81 | Facility | None | $263.03 | $380.19 | $524.81 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | None (both parts) | $75.86 | $75.86 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $436.52 Typical High $933.25 | Facility | None | $177.83 | $436.52 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $281.84 | Professional | None (both parts) | $128.82 | $131.83 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $51.29 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $79.43 | $165.96 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $102.33 Typical High $190.55 | Facility | None | $56.23 | $102.33 | $190.55 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $57.54 | $112.20 | $199.53 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $309.03 Typical High $398.11 | Professional | None (both parts) | $144.54 | $309.03 | $398.11 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $87.10 Typical High $123.03 | Professional | 26 · Professional part | $43.65 | $87.10 | $123.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $93.33 | $204.17 | $338.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $104.71 Median $295.12 Typical High $524.81 | Facility | None | $104.71 | $295.12 | $524.81 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $102.33 Median $380.19 Typical High $1,258.93 | Professional | None (both parts) | $102.33 | $380.19 | $1,258.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $107.15 Typical High $575.44 | Professional | 26 · Professional part | $42.66 | $107.15 | $575.44 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $331.13 Typical High $794.33 | Professional | TC · Technical part | $93.33 | $331.13 | $794.33 |
United Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $933.25 | Facility | None | $331.13 | $630.96 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $104.71 | $371.54 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $37.15 | $52.48 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $316.23 Typical High $562.34 | Professional | TC · Technical part | $63.10 | $316.23 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $87.10 Median $109.65 Typical High $169.82 | Facility | None | $87.10 | $109.65 | $169.82 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $61.66 | Facility | 26 · Professional part | $30.20 | $38.90 | $61.66 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $223.87 Typical High $380.19 | Facility | TC · Technical part | $69.18 | $223.87 | $380.19 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | None (both parts) | $85.11 | $85.11 | $114.82 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | 26 · Professional part | $31.62 | $31.62 | $42.66 |
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 $83.18 Median $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $131.83 | $131.83 | $131.83 |
Where Massachusetts sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 14th 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.