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 $162.18 Median $162.18 Typical High $660.69 | Facility | None | $162.18 | $162.18 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $436.52 | Professional | None (both parts) | $162.18 | $162.18 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $53.70 | Professional | 26 · Professional part | $17.78 | $17.78 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $380.19 | Professional | TC · Technical part | $144.54 | $144.54 | $380.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $199.53 Median $660.69 Typical High $851.14 | Facility | None | $199.53 | $660.69 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $147.91 Median $426.58 Typical High $1,202.26 | Professional | None (both parts) | $147.91 | $426.58 | $1,202.26 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $51.29 Typical High $275.42 | Professional | 26 · Professional part | $20.42 | $51.29 | $275.42 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $398.11 Typical High $1,047.13 | Professional | TC · Technical part | $128.82 | $398.11 | $1,047.13 |
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 $199.53 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $199.53 | $263.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $676.08 Typical High $1,905.46 | Facility | None | $275.42 | $676.08 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $831.76 | Professional | None (both parts) | $251.19 | $275.42 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $93.33 | Professional | 26 · Professional part | $28.84 | $33.11 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $251.19 Typical High $741.31 | Professional | TC · Technical part | $218.78 | $251.19 | $741.31 |
Fallon Health Setting Facility Modifier None Typical Low $30.20 Median $218.78 Typical High $302.00 | Facility | None | $30.20 | $218.78 | $302.00 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $30.20 | $223.87 | $302.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $181.97 Median $371.54 Typical High $794.33 | Professional | None (both parts) | $181.97 | $371.54 | $794.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $23.44 | $44.67 | $72.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $309.03 Typical High $524.81 | Professional | TC · Technical part | $158.49 | $309.03 | $524.81 |
Health New England Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $199.53 Median $660.69 Typical High $851.14 | Facility | None | $199.53 | $660.69 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $147.91 Median $426.58 Typical High $1,202.26 | Professional | None (both parts) | $147.91 | $426.58 | $1,202.26 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $51.29 Typical High $275.42 | Professional | 26 · Professional part | $20.42 | $51.29 | $275.42 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $398.11 Typical High $1,047.13 | Professional | TC · Technical part | $128.82 | $398.11 | $1,047.13 |
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 $147.91 Median $281.84 Typical High $794.33 | Professional | None (both parts) | $147.91 | $281.84 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $87.10 | Professional | 26 · Professional part | $21.88 | $31.62 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $251.19 Typical High $691.83 | Professional | TC · Technical part | $120.23 | $251.19 | $691.83 |
Well Sense Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $302.00 | Facility | None | $147.91 | $204.17 | $302.00 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $39.81 | Facility | 26 · Professional part | $16.98 | $21.88 | $39.81 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $302.00 | Facility | TC · Technical part | $128.82 | $169.82 | $302.00 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $147.91 | $177.83 | $177.83 |
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 $81.28 Median $81.28 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $32.36 | $32.36 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $181.97 | Professional | FX · Film X-ray | $128.82 | $128.82 | $181.97 |
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
$251
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.