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 $144.54 Median $144.54 Typical High $562.34 | Facility | None | $144.54 | $144.54 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $144.54 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $24.55 | Professional | 26 · Professional part | $16.60 | $16.60 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $162.18 | Professional | TC · Technical part | $125.89 | $125.89 | $162.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $177.83 Median $575.44 Typical High $851.14 | Facility | None | $177.83 | $575.44 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $131.83 | $389.05 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $47.86 Typical High $169.82 | Professional | 26 · Professional part | $19.05 | $47.86 | $169.82 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $354.81 Typical High $954.99 | Professional | TC · Technical part | $117.49 | $354.81 | $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 $234.42 Median $234.42 Typical High $245.47 | Professional | None (both parts) | $234.42 | $234.42 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $575.44 Typical High $1,548.82 | Facility | None | $245.47 | $575.44 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $251.19 Typical High $741.31 | Professional | None (both parts) | $223.87 | $251.19 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $87.10 | Professional | 26 · Professional part | $26.92 | $30.90 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $660.69 | Professional | TC · Technical part | $199.53 | $218.78 | $660.69 |
Fallon Health Setting Facility Modifier None Typical Low $27.54 Median $194.98 Typical High $263.03 | Facility | None | $27.54 | $194.98 | $263.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $27.54 | $194.98 | $263.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $331.13 Typical High $707.95 | Professional | None (both parts) | $162.18 | $331.13 | $707.95 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $21.38 | $41.69 | $69.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $269.15 Typical High $457.09 | Professional | TC · Technical part | $141.25 | $269.15 | $457.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $177.83 Median $575.44 Typical High $851.14 | Facility | None | $177.83 | $575.44 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $131.83 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $131.83 | $389.05 | $1,071.52 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $47.86 Typical High $169.82 | Professional | 26 · Professional part | $19.05 | $47.86 | $169.82 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $354.81 Typical High $954.99 | Professional | TC · Technical part | $117.49 | $354.81 | $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 $114.82 Median $251.19 Typical High $707.95 | Professional | None (both parts) | $114.82 | $251.19 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $83.18 | Professional | 26 · Professional part | $20.42 | $30.20 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $223.87 Typical High $630.96 | Professional | TC · Technical part | $91.20 | $223.87 | $630.96 |
Well Sense Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $269.15 | Facility | None | $131.83 | $181.97 | $269.15 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $36.31 | Facility | 26 · Professional part | $15.85 | $20.42 | $36.31 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $269.15 | Facility | TC · Technical part | $117.49 | $151.36 | $269.15 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $125.89 | $151.36 | $151.36 |
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 $72.44 Median $72.44 Typical High $93.33 | Professional | 52 · Reduced service | $72.44 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $37.15 | Professional | 53 · Discontinued | $28.84 | $28.84 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $162.18 | Professional | FX · Film X-ray | $114.82 | $114.82 | $162.18 |
Where Massachusetts sits
The same service costs 4.7 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· 21st of 51
$224
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.