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 $181.97 Median $181.97 Typical High $794.33 | Facility | None | $181.97 | $181.97 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $181.97 | $181.97 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $26.92 | $26.92 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $218.78 | Professional | TC · Technical part | $154.88 | $154.88 | $218.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $208.93 Median $758.58 Typical High $851.14 | Facility | None | $208.93 | $758.58 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $158.49 Median $489.78 Typical High $1,318.26 | Professional | None (both parts) | $158.49 | $489.78 | $1,318.26 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $75.86 Typical High $257.04 | Professional | 26 · Professional part | $31.62 | $75.86 | $257.04 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $426.58 Typical High $1,096.48 | Professional | TC · Technical part | $134.90 | $426.58 | $1,096.48 |
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 $204.17 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $204.17 | $204.17 | $213.80 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $61.66 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $776.25 Typical High $1,548.82 | Facility | None | $288.40 | $776.25 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $891.25 | Professional | None (both parts) | $269.15 | $302.00 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $134.90 | Professional | 26 · Professional part | $41.69 | $47.86 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $758.58 | Professional | TC · Technical part | $229.09 | $275.42 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $44.67 Median $245.47 Typical High $346.74 | Facility | None | $44.67 | $245.47 | $346.74 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $44.67 | $245.47 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $208.93 Median $426.58 Typical High $812.83 | Professional | None (both parts) | $208.93 | $426.58 | $812.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $35.48 | $66.07 | $107.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $338.84 Typical High $575.44 | Professional | TC · Technical part | $177.83 | $338.84 | $575.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $208.93 Median $758.58 Typical High $851.14 | Facility | None | $208.93 | $758.58 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $158.49 Median $489.78 Typical High $1,318.26 | Professional | None (both parts) | $158.49 | $489.78 | $1,318.26 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $75.86 Typical High $257.04 | Professional | 26 · Professional part | $31.62 | $75.86 | $257.04 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $426.58 Typical High $1,096.48 | Professional | TC · Technical part | $134.90 | $426.58 | $1,096.48 |
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 $158.49 Median $316.23 Typical High $851.14 | Professional | None (both parts) | $158.49 | $316.23 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $128.82 | Professional | 26 · Professional part | $33.88 | $45.71 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $269.15 Typical High $724.44 | Professional | TC · Technical part | $117.49 | $269.15 | $724.44 |
Well Sense Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $323.59 | Facility | None | $158.49 | $218.78 | $323.59 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $57.54 | Facility | 26 · Professional part | $24.55 | $32.36 | $57.54 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $309.03 | Facility | TC · Technical part | $134.90 | $173.78 | $309.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $177.83 | $213.80 | $213.80 |
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 $91.20 Median $91.20 Typical High $114.82 | Professional | 52 · Reduced service | $91.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | 53 · Discontinued | $36.31 | $36.31 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $208.93 | Professional | FX · Film X-ray | $144.54 | $144.54 | $208.93 |
Where Massachusetts sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$288
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.