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 $371.54 Median $371.54 Typical High $1,348.96 | Facility | None | $371.54 | $371.54 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $371.54 | $371.54 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $61.66 | $61.66 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $537.03 | Professional | TC · Technical part | $309.03 | $309.03 | $537.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $2,818.38 | Facility | None | $660.69 | $1,348.96 | $2,818.38 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $512.86 Median $2,290.87 Typical High $4,168.69 | Professional | None (both parts) | $512.86 | $2,290.87 | $4,168.69 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $269.15 Typical High $676.08 | Professional | 26 · Professional part | $85.11 | $269.15 | $676.08 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $2,041.74 Typical High $3,715.35 | Professional | TC · Technical part | $446.68 | $2,041.74 | $3,715.35 |
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 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,348.96 Typical High $2,398.83 | Facility | None | $588.84 | $1,348.96 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $812.83 Typical High $2,187.76 | Professional | None (both parts) | $758.58 | $812.83 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $257.04 | Professional | 26 · Professional part | $95.50 | $109.65 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $724.44 Typical High $1,949.84 | Professional | TC · Technical part | $691.83 | $724.44 | $1,949.84 |
Fallon Health Setting Facility Modifier None Typical Low $109.65 Median $912.01 Typical High $1,230.27 | Facility | None | $109.65 | $912.01 | $1,230.27 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $912.01 Typical High $1,230.27 | Professional | None (both parts) | $112.20 | $912.01 | $1,230.27 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,288.25 Typical High $2,187.76 | Professional | None (both parts) | $676.08 | $1,288.25 | $2,187.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $173.78 Typical High $263.03 | Professional | 26 · Professional part | $89.13 | $173.78 | $263.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $1,258.93 Typical High $1,995.26 | Professional | TC · Technical part | $588.84 | $1,258.93 | $1,995.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $2,818.38 | Facility | None | $660.69 | $1,348.96 | $2,818.38 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $512.86 Median $2,290.87 Typical High $4,168.69 | Professional | None (both parts) | $512.86 | $2,290.87 | $4,168.69 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $269.15 Typical High $676.08 | Professional | 26 · Professional part | $85.11 | $269.15 | $676.08 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $2,041.74 Typical High $3,715.35 | Professional | TC · Technical part | $446.68 | $2,041.74 | $3,715.35 |
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 $245.47 Median $870.96 Typical High $2,290.87 | Professional | None (both parts) | $245.47 | $870.96 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $263.03 | Professional | 26 · Professional part | $83.18 | $112.20 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $758.58 Typical High $1,995.26 | Professional | TC · Technical part | $158.49 | $758.58 | $1,995.26 |
Well Sense Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $1,047.13 | Facility | None | $512.86 | $707.95 | $1,047.13 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $141.25 | Facility | 26 · Professional part | $60.26 | $79.43 | $141.25 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $588.84 Typical High $1,047.13 | Facility | TC · Technical part | $446.68 | $588.84 | $1,047.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $338.84 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $338.84 | $407.38 | $407.38 |
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 $186.21 Median $186.21 Typical High $323.59 | Professional | 52 · Reduced service | $186.21 | $186.21 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $131.83 | Professional | 53 · Discontinued | $74.13 | $74.13 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $524.81 | Professional | FX · Film X-ray | $295.12 | $295.12 | $524.81 |
Where Massachusetts sits
The same service costs 6.0 times more in Alaska than in Indiana. 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· 11th of 51
$1,000
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.