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 $380.19 Median $380.19 Typical High $1,479.11 | Facility | None | $380.19 | $380.19 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | None (both parts) | $380.19 | $380.19 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $27.54 | $27.54 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | TC · Technical part | $346.74 | $346.74 | $416.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $446.68 Median $1,445.44 Typical High $2,951.21 | Facility | None | $446.68 | $1,445.44 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $331.13 Median $954.99 Typical High $2,754.23 | Professional | None (both parts) | $331.13 | $954.99 | $2,754.23 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $79.43 Typical High $346.74 | Professional | 26 · Professional part | $31.62 | $79.43 | $346.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $912.01 Typical High $2,511.89 | Professional | TC · Technical part | $302.00 | $912.01 | $2,511.89 |
BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $2,818.38 | Facility | None | $1,412.54 | $2,041.74 | $2,818.38 |
BCBS Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | None (both parts) | $616.60 | $616.60 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $5,754.40 | Facility | None | $645.65 | $1,698.24 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $616.60 Typical High $1,862.09 | Professional | None (both parts) | $549.54 | $616.60 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $144.54 | Professional | 26 · Professional part | $44.67 | $51.29 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $575.44 Typical High $1,698.24 | Professional | TC · Technical part | $512.86 | $575.44 | $1,698.24 |
Fallon Health Setting Facility Modifier None Typical Low $44.67 Median $501.19 Typical High $645.65 | Facility | None | $44.67 | $501.19 | $645.65 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $501.19 Typical High $645.65 | Professional | None (both parts) | $44.67 | $501.19 | $645.65 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $398.11 Median $812.83 Typical High $1,995.26 | Professional | None (both parts) | $398.11 | $812.83 | $1,995.26 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $36.31 | $67.61 | $112.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $691.83 Typical High $1,174.90 | Professional | TC · Technical part | $363.08 | $691.83 | $1,174.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $446.68 Median $1,445.44 Typical High $2,951.21 | Facility | None | $446.68 | $1,445.44 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $331.13 Median $954.99 Typical High $2,754.23 | Professional | None (both parts) | $331.13 | $954.99 | $2,754.23 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $79.43 Typical High $346.74 | Professional | 26 · Professional part | $31.62 | $79.43 | $346.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $912.01 Typical High $2,511.89 | Professional | TC · Technical part | $302.00 | $912.01 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $5,128.61 | Facility | None | $1,819.70 | $3,388.44 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $660.69 Typical High $1,778.28 | Professional | None (both parts) | $263.03 | $660.69 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $138.04 | Professional | 26 · Professional part | $33.88 | $48.98 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $602.56 Typical High $1,621.81 | Professional | TC · Technical part | $223.87 | $602.56 | $1,621.81 |
Well Sense Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $676.08 | Facility | None | $331.13 | $457.09 | $676.08 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $60.26 | Facility | 26 · Professional part | $26.30 | $33.88 | $60.26 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $398.11 Typical High $707.95 | Facility | TC · Technical part | $302.00 | $398.11 | $707.95 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $331.13 | $398.11 | $398.11 |
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 $190.55 Median $190.55 Typical High $229.09 | Professional | 52 · Reduced service | $190.55 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | 53 · Discontinued | $75.86 | $75.86 | $91.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | FX · Film X-ray | $302.00 | $302.00 | $416.87 |
Where Massachusetts sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 24th of 51
$550
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.