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 $204.17 Median $204.17 Typical High $891.25 | Facility | None | $204.17 | $204.17 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $204.17 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | 26 · Professional part | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $173.78 | $173.78 | $213.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $776.25 Typical High $891.25 | Facility | None | $239.88 | $776.25 | $891.25 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $204.17 Median $537.03 Typical High $1,548.82 | Professional | None (both parts) | $204.17 | $537.03 | $1,548.82 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $81.28 Typical High $389.05 | Professional | 26 · Professional part | $33.88 | $81.28 | $389.05 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $478.63 Typical High $1,288.25 | Professional | TC · Technical part | $165.96 | $478.63 | $1,288.25 |
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 $316.23 Median $316.23 Typical High $346.74 | Professional | None (both parts) | $316.23 | $316.23 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $870.96 Typical High $1,698.24 | Facility | None | $331.13 | $870.96 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $346.74 Typical High $1,047.13 | Professional | None (both parts) | $309.03 | $346.74 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $147.91 | Professional | 26 · Professional part | $45.71 | $53.70 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $891.25 | Professional | TC · Technical part | $263.03 | $302.00 | $891.25 |
Fallon Health Setting Facility Modifier None Typical Low $46.77 Median $263.03 Typical High $371.54 | Facility | None | $46.77 | $263.03 | $371.54 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $46.77 | $263.03 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $251.19 | $457.09 | $851.14 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $70.79 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $363.08 Typical High $616.60 | Professional | TC · Technical part | $204.17 | $363.08 | $616.60 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $776.25 Typical High $891.25 | Facility | None | $239.88 | $776.25 | $891.25 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $204.17 Median $537.03 Typical High $1,548.82 | Professional | None (both parts) | $204.17 | $537.03 | $1,548.82 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $81.28 Typical High $389.05 | Professional | 26 · Professional part | $33.88 | $81.28 | $389.05 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $478.63 Typical High $1,288.25 | Professional | TC · Technical part | $165.96 | $478.63 | $1,288.25 |
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 $208.93 Median $363.08 Typical High $1,000.00 | Professional | None (both parts) | $208.93 | $363.08 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $141.25 | Professional | 26 · Professional part | $36.31 | $51.29 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $309.03 Typical High $851.14 | Professional | TC · Technical part | $165.96 | $309.03 | $851.14 |
Well Sense Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $380.19 | Facility | None | $186.21 | $257.04 | $380.19 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $63.10 | Facility | 26 · Professional part | $27.54 | $35.48 | $63.10 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $371.54 | Facility | TC · Technical part | $158.49 | $204.17 | $371.54 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $194.98 | $234.42 | $234.42 |
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 $102.33 Median $102.33 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | 53 · Discontinued | $40.74 | $40.74 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $229.09 | Professional | FX · Film X-ray | $162.18 | $162.18 | $229.09 |
Where Massachusetts sits
The same service costs 4.6 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· 27th of 51
$309
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.