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 $165.96 Median $165.96 Typical High $724.44 | Facility | None | $165.96 | $165.96 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $165.96 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $25.12 | Professional | 26 · Professional part | $17.38 | $17.38 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $147.91 | $147.91 | $194.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $213.80 Median $707.95 Typical High $2,951.21 | Facility | None | $213.80 | $707.95 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $154.88 Median $457.09 Typical High $1,288.25 | Professional | None (both parts) | $154.88 | $457.09 | $1,288.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $53.70 Typical High $223.87 | Professional | 26 · Professional part | $21.38 | $53.70 | $223.87 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $436.52 Typical High $1,148.15 | Professional | TC · Technical part | $138.04 | $436.52 | $1,148.15 |
BCBS Massachusetts 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 Massachusetts Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $302.00 | Professional | None (both parts) | $281.84 | $281.84 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $1,202.26 Typical High $3,981.07 | Facility | None | $295.12 | $1,202.26 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $891.25 | Professional | None (both parts) | $269.15 | $295.12 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $95.50 | Professional | 26 · Professional part | $30.20 | $33.11 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $263.03 Typical High $794.33 | Professional | TC · Technical part | $239.88 | $263.03 | $794.33 |
Fallon Health Setting Facility Modifier None Typical Low $30.20 Median $239.88 Typical High $323.59 | Facility | None | $30.20 | $239.88 | $323.59 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $30.20 | $239.88 | $323.59 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $831.76 | Professional | None (both parts) | $199.53 | $398.11 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $23.99 | $45.71 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $331.13 Typical High $562.34 | Professional | TC · Technical part | $173.78 | $331.13 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $213.80 Median $707.95 Typical High $2,951.21 | Facility | None | $213.80 | $707.95 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $154.88 Median $457.09 Typical High $1,288.25 | Professional | None (both parts) | $154.88 | $457.09 | $1,288.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $53.70 Typical High $223.87 | Professional | 26 · Professional part | $21.38 | $53.70 | $223.87 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $436.52 Typical High $1,148.15 | Professional | TC · Technical part | $138.04 | $436.52 | $1,148.15 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,137.96 | Facility | None | $758.58 | $1,445.44 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $302.00 Typical High $831.76 | Professional | None (both parts) | $147.91 | $302.00 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $91.20 | Professional | 26 · Professional part | $22.91 | $31.62 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $269.15 Typical High $758.58 | Professional | TC · Technical part | $117.49 | $269.15 | $758.58 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $316.23 | Facility | None | $154.88 | $213.80 | $316.23 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $39.81 | Facility | 26 · Professional part | $16.98 | $22.39 | $39.81 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $323.59 | Facility | TC · Technical part | $138.04 | $177.83 | $323.59 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $158.49 | $190.55 | $190.55 |
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 $83.18 Median $83.18 Typical High $112.20 | Professional | 52 · Reduced service | $83.18 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | 53 · Discontinued | $33.11 | $33.11 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $186.21 | Professional | FX · Film X-ray | $134.90 | $134.90 | $186.21 |
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· 22nd of 51
$275
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.