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 $208.93 Median $208.93 Typical High $870.96 | Facility | None | $208.93 | $208.93 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $208.93 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | 26 · Professional part | $25.70 | $25.70 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | TC · Technical part | $186.21 | $186.21 | $218.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $213.80 Median $676.08 Typical High $851.14 | Facility | None | $213.80 | $676.08 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $186.21 Median $436.52 Typical High $1,258.93 | Professional | None (both parts) | $186.21 | $436.52 | $1,258.93 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $58.88 Typical High $239.88 | Professional | 26 · Professional part | $26.92 | $58.88 | $239.88 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $389.05 Typical High $1,071.52 | Professional | TC · Technical part | $158.49 | $389.05 | $1,071.52 |
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 $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $870.96 Typical High $1,548.82 | Facility | None | $275.42 | $870.96 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $831.76 | Professional | None (both parts) | $251.19 | $309.03 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $109.65 | Professional | 26 · Professional part | $33.88 | $40.74 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $724.44 | Professional | TC · Technical part | $218.78 | $269.15 | $724.44 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $223.87 Typical High $309.03 | Facility | None | $35.48 | $223.87 | $309.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $35.48 | $223.87 | $309.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $218.78 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $218.78 | $389.05 | $758.58 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $52.48 | $87.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $316.23 | $524.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $213.80 Median $676.08 Typical High $851.14 | Facility | None | $213.80 | $676.08 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $186.21 Median $436.52 Typical High $1,258.93 | Professional | None (both parts) | $186.21 | $436.52 | $1,258.93 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $58.88 Typical High $239.88 | Professional | 26 · Professional part | $26.92 | $58.88 | $239.88 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $389.05 Typical High $1,071.52 | Professional | TC · Technical part | $158.49 | $389.05 | $1,071.52 |
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 $199.53 Median $295.12 Typical High $794.33 | Professional | None (both parts) | $199.53 | $295.12 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $104.71 | Professional | 26 · Professional part | $31.62 | $38.90 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $691.83 | Professional | TC · Technical part | $169.82 | $257.04 | $691.83 |
Well Sense Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $309.03 | Facility | None | $147.91 | $204.17 | $309.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $46.77 | Facility | 26 · Professional part | $19.95 | $26.30 | $46.77 |
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 $190.55 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $190.55 | $229.09 | $229.09 |
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 $104.71 Median $104.71 Typical High $125.89 | Professional | 52 · Reduced service | $104.71 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | 53 · Discontinued | $41.69 | $41.69 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | FX · Film X-ray | $169.82 | $169.82 | $229.09 |
Where Massachusetts sits
The same service costs 4.4 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· 31st of 51
$263
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.