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 $169.82 Median $169.82 Typical High $741.31 | Facility | None | $169.82 | $169.82 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $169.82 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $33.11 | $33.11 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $134.90 | $134.90 | $169.82 |
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 $190.55 Median $446.68 Typical High $1,479.11 | Professional | None (both parts) | $190.55 | $446.68 | $1,479.11 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $97.72 Typical High $512.86 | Professional | 26 · Professional part | $38.90 | $97.72 | $512.86 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $371.54 Typical High $1,047.13 | Professional | TC · Technical part | $154.88 | $371.54 | $1,047.13 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $660.69 Typical High $1,995.26 | Facility | None | $234.42 | $660.69 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $269.15 Typical High $870.96 | Professional | None (both parts) | $263.03 | $269.15 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $173.78 | Professional | 26 · Professional part | $53.70 | $61.66 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $691.83 | Professional | TC · Technical part | $208.93 | $229.09 | $691.83 |
Fallon Health Setting Facility Modifier None Typical Low $54.95 Median $204.17 Typical High $309.03 | Facility | None | $54.95 | $204.17 | $309.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $54.95 | $204.17 | $309.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $218.78 Median $389.05 Typical High $831.76 | Professional | None (both parts) | $218.78 | $389.05 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $43.65 | $81.28 | $138.04 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $165.96 | $281.84 | $478.63 |
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 $190.55 Median $446.68 Typical High $1,479.11 | Professional | None (both parts) | $190.55 | $446.68 | $1,479.11 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $97.72 Typical High $512.86 | Professional | 26 · Professional part | $38.90 | $97.72 | $512.86 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $371.54 Typical High $1,047.13 | Professional | TC · Technical part | $154.88 | $371.54 | $1,047.13 |
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 $208.93 Median $295.12 Typical High $831.76 | Professional | None (both parts) | $208.93 | $295.12 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $165.96 | Professional | 26 · Professional part | $41.69 | $60.26 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $660.69 | Professional | TC · Technical part | $165.96 | $234.42 | $660.69 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $316.23 | Facility | None | $154.88 | $213.80 | $316.23 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $74.13 | Facility | 26 · Professional part | $31.62 | $41.69 | $74.13 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $281.84 | Facility | TC · Technical part | $123.03 | $158.49 | $281.84 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $158.49 | $190.55 | $190.55 |
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 $85.11 Median $85.11 Typical High $109.65 | Professional | 52 · Reduced service | $85.11 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | 53 · Discontinued | $33.88 | $33.88 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | FX · Film X-ray | $134.90 | $134.90 | $190.55 |
Where Massachusetts sits
The same service costs 5.0 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· 27th of 51
$257
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.