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 $288.40 Median $288.40 Typical High $1,071.52 | Facility | None | $288.40 | $288.40 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $288.40 | $288.40 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $36.31 | $36.31 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $251.19 Typical High $354.81 | Professional | TC · Technical part | $245.47 | $251.19 | $354.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $338.84 Median $870.96 Typical High $1,230.27 | Facility | None | $338.84 | $870.96 | $1,230.27 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $257.04 Median $741.31 Typical High $2,137.96 | Professional | None (both parts) | $257.04 | $741.31 | $2,137.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $104.71 Typical High $309.03 | Professional | 26 · Professional part | $41.69 | $104.71 | $309.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $645.65 Typical High $1,819.70 | Professional | TC · Technical part | $223.87 | $645.65 | $1,819.70 |
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 $323.59 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $323.59 | $323.59 | $338.84 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $50.12 | $75.86 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,071.52 Typical High $1,548.82 | Facility | None | $416.87 | $1,071.52 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $1,445.44 | Professional | None (both parts) | $436.52 | $489.78 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $190.55 | Professional | 26 · Professional part | $57.54 | $66.07 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $436.52 Typical High $1,258.93 | Professional | TC · Technical part | $371.54 | $436.52 | $1,258.93 |
Fallon Health Setting Facility Modifier None Typical Low $60.26 Median $371.54 Typical High $512.86 | Facility | None | $60.26 | $371.54 | $512.86 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $60.26 | $371.54 | $512.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $316.23 Median $630.96 Typical High $1,023.29 | Professional | None (both parts) | $316.23 | $630.96 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $47.86 | $89.13 | $147.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $512.86 Typical High $870.96 | Professional | TC · Technical part | $269.15 | $512.86 | $870.96 |
Health New England Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Mass General Brigham Setting Facility Modifier None Typical Low $338.84 Median $870.96 Typical High $1,230.27 | Facility | None | $338.84 | $870.96 | $1,230.27 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $257.04 Median $741.31 Typical High $2,137.96 | Professional | None (both parts) | $257.04 | $741.31 | $2,137.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $104.71 Typical High $309.03 | Professional | 26 · Professional part | $41.69 | $104.71 | $309.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $645.65 Typical High $1,819.70 | Professional | TC · Technical part | $223.87 | $645.65 | $1,819.70 |
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 $251.19 Median $501.19 Typical High $1,380.38 | Professional | None (both parts) | $251.19 | $501.19 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $181.97 | Professional | 26 · Professional part | $44.67 | $64.57 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $446.68 Typical High $1,202.26 | Professional | TC · Technical part | $199.53 | $446.68 | $1,202.26 |
Well Sense Setting Facility Modifier None Typical Low $257.04 Median $354.81 Typical High $524.81 | Facility | None | $257.04 | $354.81 | $524.81 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $79.43 | Facility | 26 · Professional part | $33.88 | $44.67 | $79.43 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $524.81 | Facility | TC · Technical part | $223.87 | $288.40 | $524.81 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $263.03 | $316.23 | $316.23 |
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 $144.54 Median $144.54 Typical High $177.83 | Professional | 52 · Reduced service | $144.54 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | 53 · Discontinued | $57.54 | $57.54 | $72.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $234.42 Typical High $323.59 | Professional | FX · Film X-ray | $234.42 | $234.42 | $323.59 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 22nd of 51
$437
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.