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 $1,096.48 | Facility | None | $288.40 | $288.40 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $831.76 | Professional | None (both parts) | $288.40 | $288.40 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $114.82 | Professional | 26 · Professional part | $37.15 | $37.15 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $707.95 | Professional | TC · Technical part | $251.19 | $251.19 | $707.95 |
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 $42.66 Median $107.15 Typical High $363.08 | Professional | 26 · Professional part | $42.66 | $107.15 | $363.08 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $645.65 Typical High $1,819.70 | Professional | TC · Technical part | $218.78 | $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 $398.11 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $398.11 | $446.68 | $446.68 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $83.18 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,071.52 Typical High $1,584.89 | Facility | None | $416.87 | $1,071.52 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $1,445.44 | Professional | None (both parts) | $426.58 | $478.63 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $194.98 | Professional | 26 · Professional part | $60.26 | $67.61 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $436.52 Typical High $1,230.27 | Professional | TC · Technical part | $371.54 | $436.52 | $1,230.27 |
Fallon Health Setting Facility Modifier None Typical Low $61.66 Median $363.08 Typical High $512.86 | Facility | None | $61.66 | $363.08 | $512.86 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $61.66 | $371.54 | $512.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $309.03 Median $630.96 Typical High $1,023.29 | Professional | None (both parts) | $309.03 | $630.96 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $91.20 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $91.20 | $151.36 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $512.86 Typical High $851.14 | Professional | TC · Technical part | $263.03 | $512.86 | $851.14 |
Health New England Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $1,380.38 | Facility | None | $478.63 | $758.58 | $1,380.38 |
Health New England Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | None (both parts) | $66.07 | $66.07 | $69.18 |
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 $42.66 Median $107.15 Typical High $363.08 | Professional | 26 · Professional part | $42.66 | $107.15 | $363.08 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $645.65 Typical High $1,819.70 | Professional | TC · Technical part | $218.78 | $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 $45.71 Median $66.07 Typical High $186.21 | Professional | 26 · Professional part | $45.71 | $66.07 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $436.52 Typical High $1,174.90 | Professional | TC · Technical part | $194.98 | $436.52 | $1,174.90 |
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 $35.48 Median $45.71 Typical High $81.28 | Facility | 26 · Professional part | $35.48 | $45.71 | $81.28 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $512.86 | Facility | TC · Technical part | $218.78 | $288.40 | $512.86 |
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 $70.79 | Professional | 53 · Discontinued | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $323.59 | Professional | FX · Film X-ray | $229.09 | $229.09 | $323.59 |
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· 23rd of 51
$427
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.