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 $81.28 Median $81.28 Typical High $489.78 | Facility | None | $81.28 | $81.28 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $194.98 | Professional | None (both parts) | $81.28 | $81.28 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $28.84 | Professional | 26 · Professional part | $14.79 | $14.79 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $66.07 | $165.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $117.49 Median $380.19 Typical High $851.14 | Facility | None | $117.49 | $380.19 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $107.15 Median $245.47 Typical High $933.25 | Professional | None (both parts) | $107.15 | $245.47 | $933.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $41.69 Typical High $186.21 | Professional | 26 · Professional part | $18.62 | $41.69 | $186.21 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $213.80 Typical High $812.83 | Professional | TC · Technical part | $87.10 | $213.80 | $812.83 |
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 $102.33 Median $138.04 Typical High $141.25 | Professional | None (both parts) | $102.33 | $138.04 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $457.09 Typical High $1,548.82 | Facility | None | $144.54 | $457.09 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $457.09 | Professional | None (both parts) | $141.25 | $154.88 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $26.92 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $128.82 Typical High $380.19 | Professional | TC · Technical part | $117.49 | $128.82 | $380.19 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $120.23 Typical High $181.97 | Facility | None | $24.55 | $120.23 | $181.97 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $24.55 | $120.23 | $173.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $125.89 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $125.89 | $218.78 | $446.68 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $21.38 | $36.31 | $58.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $173.78 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $173.78 | $281.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $117.49 Median $380.19 Typical High $851.14 | Facility | None | $117.49 | $380.19 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $107.15 Median $245.47 Typical High $933.25 | Professional | None (both parts) | $107.15 | $245.47 | $933.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $41.69 Typical High $186.21 | Professional | 26 · Professional part | $18.62 | $41.69 | $186.21 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $213.80 Typical High $812.83 | Professional | TC · Technical part | $87.10 | $213.80 | $812.83 |
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 $125.89 Median $169.82 Typical High $436.52 | Professional | None (both parts) | $125.89 | $169.82 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $70.79 | Professional | 26 · Professional part | $21.38 | $26.30 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $363.08 | Professional | TC · Technical part | $102.33 | $144.54 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $165.96 | Facility | None | $79.43 | $112.20 | $165.96 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $18.20 Typical High $32.36 | Facility | 26 · Professional part | $13.80 | $18.20 | $32.36 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $154.88 | Facility | TC · Technical part | $66.07 | $87.10 | $154.88 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $97.72 | $117.49 | $117.49 |
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 $40.74 Median $40.74 Typical High $58.88 | Professional | 52 · Reduced service | $40.74 | $40.74 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $23.99 | Professional | 53 · Discontinued | $16.22 | $16.22 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $64.57 Typical High $95.50 | Professional | FX · Film X-ray | $64.57 | $64.57 | $95.50 |
Where Massachusetts sits
The same service costs 5.0 times more in Alabama than in New York. 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
$148
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.