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 $234.42 Median $234.42 Typical High $1,122.02 | Facility | None | $234.42 | $234.42 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $234.42 | $234.42 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $25.12 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $208.93 | $208.93 | $275.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $275.42 Median $776.25 Typical High $1,023.29 | Facility | None | $275.42 | $776.25 | $1,023.29 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $204.17 Median $602.56 Typical High $1,737.80 | Professional | None (both parts) | $204.17 | $602.56 | $1,737.80 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $74.13 Typical High $371.54 | Professional | 26 · Professional part | $32.36 | $74.13 | $371.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $549.54 Typical High $1,513.56 | Professional | TC · Technical part | $181.97 | $549.54 | $1,513.56 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $812.83 | Facility | None | $407.38 | $588.84 | $812.83 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $436.52 | Professional | None (both parts) | $363.08 | $363.08 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,071.52 Typical High $1,819.70 | Facility | None | $380.19 | $1,071.52 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $389.05 Typical High $1,148.15 | Professional | None (both parts) | $346.74 | $389.05 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $131.83 | Professional | 26 · Professional part | $40.74 | $46.77 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $1,023.29 | Professional | TC · Technical part | $302.00 | $354.81 | $1,023.29 |
Fallon Health Setting Facility Modifier None Typical Low $42.66 Median $309.03 Typical High $416.87 | Facility | None | $42.66 | $309.03 | $416.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $42.66 | $316.23 | $416.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $257.04 Median $512.86 Typical High $912.01 | Professional | None (both parts) | $257.04 | $512.86 | $912.01 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $63.10 | $104.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $223.87 | $436.52 | $741.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $275.42 Median $776.25 Typical High $1,023.29 | Facility | None | $275.42 | $776.25 | $1,023.29 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $204.17 Median $602.56 Typical High $1,737.80 | Professional | None (both parts) | $204.17 | $602.56 | $1,737.80 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $74.13 Typical High $371.54 | Professional | 26 · Professional part | $32.36 | $74.13 | $371.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $549.54 Typical High $1,513.56 | Professional | TC · Technical part | $181.97 | $549.54 | $1,513.56 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,584.89 | Facility | None | $562.34 | $1,047.13 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $407.38 Typical High $1,096.48 | Professional | None (both parts) | $186.21 | $407.38 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $125.89 | Professional | 26 · Professional part | $37.15 | $45.71 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $363.08 Typical High $977.24 | Professional | TC · Technical part | $144.54 | $363.08 | $977.24 |
Well Sense Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $416.87 | Facility | None | $204.17 | $281.84 | $416.87 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $56.23 | Facility | 26 · Professional part | $23.99 | $31.62 | $56.23 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $416.87 | Facility | TC · Technical part | $181.97 | $234.42 | $416.87 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $239.88 | $288.40 | $288.40 |
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 $117.49 Median $117.49 Typical High $154.88 | Professional | 52 · Reduced service | $117.49 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $61.66 | Professional | 53 · Discontinued | $46.77 | $46.77 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | FX · Film X-ray | $186.21 | $186.21 | $263.03 |
Where Massachusetts sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 26th of 51
$355
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.