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 $28.18 Median $69.18 Typical High $125.89 | Facility | None | $28.18 | $69.18 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $104.71 | Professional | None (both parts) | $28.18 | $35.48 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.02 Typical High $32.36 | Professional | 26 · Professional part | $10.72 | $12.02 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $69.18 | Professional | TC · Technical part | $17.38 | $21.88 | $69.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $53.70 Median $141.25 Typical High $186.21 | Facility | None | $53.70 | $141.25 | $186.21 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $44.67 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $44.67 | $131.83 | $288.40 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $35.48 Typical High $83.18 | Professional | 26 · Professional part | $13.80 | $35.48 | $83.18 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $33.11 | $97.72 | $208.93 |
BCBS Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $257.04 | Facility | None | $128.82 | $186.21 | $257.04 |
BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $38.90 | $41.69 | $41.69 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $25.12 | Professional | 26 · Professional part | $14.45 | $14.45 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $199.53 Typical High $426.58 | Facility | None | $63.10 | $199.53 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $144.54 | Professional | None (both parts) | $48.98 | $61.66 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.60 Typical High $38.90 | Professional | 26 · Professional part | $15.14 | $16.60 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $104.71 | Professional | TC · Technical part | $34.67 | $45.71 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $47.86 Typical High $77.62 | Facility | None | $17.38 | $47.86 | $77.62 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $17.38 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $17.38 | $51.29 | $77.62 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $47.86 Median $75.86 Typical High $154.88 | Professional | None (both parts) | $47.86 | $75.86 | $154.88 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $21.88 Typical High $40.74 | Professional | 26 · Professional part | $14.13 | $21.88 | $40.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $60.26 Typical High $104.71 | Professional | TC · Technical part | $34.67 | $60.26 | $104.71 |
Health New England Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $436.52 | Facility | None | $54.95 | $54.95 | $436.52 |
Health New England Setting Professional Modifier None (both parts) Typical Low $20.42 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $20.42 | $107.15 | $114.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $53.70 Median $141.25 Typical High $186.21 | Facility | None | $53.70 | $141.25 | $186.21 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $44.67 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $44.67 | $131.83 | $288.40 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $35.48 Typical High $83.18 | Professional | 26 · Professional part | $13.80 | $35.48 | $83.18 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $33.11 | $97.72 | $208.93 |
Tufts Setting Professional Modifier None (both parts) Typical Low $35.48 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $35.48 | $58.88 | $95.50 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $40.74 | $60.26 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $18.20 Typical High $32.36 | Professional | 26 · Professional part | $11.75 | $18.20 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $79.43 | Professional | TC · Technical part | $29.51 | $42.66 | $79.43 |
Well Sense Setting Facility Modifier None Typical Low $35.48 Median $48.98 Typical High $72.44 | Facility | None | $35.48 | $48.98 | $72.44 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $22.39 | Facility | 26 · Professional part | $9.77 | $12.59 | $22.39 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $60.26 | Facility | TC · Technical part | $25.70 | $33.11 | $60.26 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | None (both parts) | $29.51 | $29.51 | $35.48 |
2 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 $14.13 Median $14.13 Typical High $21.38 | Professional | 52 · Reduced service | $14.13 | $14.13 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $22.39 Typical High $33.88 | Professional | FX · Film X-ray | $22.39 | $22.39 | $33.88 |
Where Massachusetts sits
The same service costs 4.0 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· 17th of 51
$61.66
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.