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 $117.49 Median $117.49 Typical High $851.14 | Facility | None | $117.49 | $117.49 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $371.54 | Professional | None (both parts) | $117.49 | $141.25 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $245.47 | Professional | 26 · Professional part | $79.43 | $91.20 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $40.74 Typical High $138.04 | Professional | TC · Technical part | $38.02 | $40.74 | $138.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $165.96 Median $524.81 Typical High $1,288.25 | Facility | None | $165.96 | $524.81 | $1,288.25 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $147.91 Median $645.65 Typical High $3,162.28 | Professional | None (both parts) | $147.91 | $645.65 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $354.81 Typical High $1,047.13 | Professional | 26 · Professional part | $109.65 | $354.81 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $537.03 Typical High $2,570.40 | Professional | TC · Technical part | $31.62 | $537.03 | $2,570.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $588.84 Median $831.76 Typical High $1,862.09 | Facility | None | $588.84 | $831.76 | $1,862.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $363.08 | Professional | None (both parts) | $169.82 | $169.82 | $363.08 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $263.03 | Professional | 26 · Professional part | $120.23 | $120.23 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $616.60 Typical High $2,398.83 | Facility | None | $61.66 | $616.60 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $588.84 | Professional | None (both parts) | $177.83 | $213.80 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $338.84 | Professional | 26 · Professional part | $125.89 | $141.25 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $158.49 | Professional | TC · Technical part | $50.12 | $54.95 | $158.49 |
Fallon Health Setting Facility Modifier None Typical Low $52.48 Median $147.91 Typical High $239.88 | Facility | None | $52.48 | $147.91 | $239.88 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $54.95 | $147.91 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $165.96 Median $323.59 Typical High $645.65 | Professional | None (both parts) | $165.96 | $323.59 | $645.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $208.93 Typical High $346.74 | Professional | 26 · Professional part | $112.20 | $208.93 | $346.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $83.18 Typical High $154.88 | Professional | TC · Technical part | $37.15 | $83.18 | $154.88 |
Health New England Setting Facility Modifier None Typical Low $57.54 Median $1,096.48 Typical High $1,862.09 | Facility | None | $57.54 | $1,096.48 | $1,862.09 |
Health New England Setting Professional Modifier None (both parts) Typical Low $91.20 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $91.20 | $194.98 | $218.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $165.96 Median $524.81 Typical High $1,288.25 | Facility | None | $165.96 | $524.81 | $1,288.25 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $147.91 Median $645.65 Typical High $3,162.28 | Professional | None (both parts) | $147.91 | $645.65 | $3,162.28 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $354.81 Typical High $1,047.13 | Professional | 26 · Professional part | $109.65 | $354.81 | $1,047.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $537.03 Typical High $2,570.40 | Professional | TC · Technical part | $31.62 | $537.03 | $2,570.40 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,445.44 Typical High $2,187.76 | Facility | None | $776.25 | $1,445.44 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $316.23 Typical High $616.60 | Professional | None (both parts) | $151.36 | $316.23 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $354.81 | Professional | 26 · Professional part | $107.15 | $144.54 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $72.44 Typical High $501.19 | Professional | TC · Technical part | $30.90 | $72.44 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $218.78 | Facility | None | $104.71 | $147.91 | $218.78 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $186.21 | Facility | 26 · Professional part | $79.43 | $104.71 | $186.21 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $60.26 | Facility | TC · Technical part | $25.70 | $33.88 | $60.26 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $173.78 | $208.93 | $208.93 |
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 $58.88 Median $58.88 Typical High $131.83 | Professional | 52 · Reduced service | $58.88 | $58.88 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $52.48 | Professional | 53 · Discontinued | $23.44 | $23.44 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $208.93 | Professional | FX · Film X-ray | $93.33 | $93.33 | $208.93 |
Where Massachusetts sits
The same service costs 5.1 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· 36th of 51
$204
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.