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 $177.83 Median $177.83 Typical High $676.08 | Facility | None | $177.83 | $177.83 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $177.83 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $19.50 | Professional | 26 · Professional part | $14.79 | $14.79 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | TC · Technical part | $162.18 | $162.18 | $186.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $165.96 Median $575.44 Typical High $851.14 | Facility | None | $165.96 | $575.44 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $125.89 Median $371.54 Typical High $1,047.13 | Professional | None (both parts) | $125.89 | $371.54 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $35.48 Typical High $218.78 | Professional | 26 · Professional part | $15.85 | $35.48 | $218.78 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $346.74 Typical High $954.99 | Professional | TC · Technical part | $114.82 | $346.74 | $954.99 |
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 $173.78 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $173.78 | $229.09 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $724.44 Typical High $1,698.24 | Facility | None | $239.88 | $724.44 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $707.95 | Professional | None (both parts) | $213.80 | $257.04 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $64.57 | Professional | 26 · Professional part | $19.95 | $23.44 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $645.65 | Professional | TC · Technical part | $190.55 | $239.88 | $645.65 |
Fallon Health Setting Facility Modifier None Typical Low $20.89 Median $194.98 Typical High $257.04 | Facility | None | $20.89 | $194.98 | $257.04 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $199.53 Typical High $257.04 | Professional | None (both parts) | $20.89 | $199.53 | $257.04 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $158.49 Median $331.13 Typical High $676.08 | Professional | None (both parts) | $158.49 | $331.13 | $676.08 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $18.20 | $30.90 | $51.29 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $281.84 Typical High $467.74 | Professional | TC · Technical part | $141.25 | $281.84 | $467.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $165.96 Median $575.44 Typical High $851.14 | Facility | None | $165.96 | $575.44 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $125.89 Median $371.54 Typical High $1,047.13 | Professional | None (both parts) | $125.89 | $371.54 | $1,047.13 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $35.48 Typical High $218.78 | Professional | 26 · Professional part | $15.85 | $35.48 | $218.78 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $346.74 Typical High $954.99 | Professional | TC · Technical part | $114.82 | $346.74 | $954.99 |
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 $120.23 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $120.23 | $251.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.39 Typical High $60.26 | Professional | 26 · Professional part | $18.20 | $22.39 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $223.87 Typical High $602.56 | Professional | TC · Technical part | $97.72 | $223.87 | $602.56 |
Well Sense Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $257.04 | Facility | None | $125.89 | $173.78 | $257.04 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $15.49 Typical High $27.54 | Facility | 26 · Professional part | $11.75 | $15.49 | $27.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $147.91 Typical High $263.03 | Facility | TC · Technical part | $114.82 | $147.91 | $263.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $151.36 | $181.97 | $181.97 |
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 $89.13 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $89.13 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $35.48 | $35.48 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $194.98 | Professional | FX · Film X-ray | $141.25 | $141.25 | $194.98 |
Where Massachusetts sits
The same service costs 4.5 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
$219
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.