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 $1,023.29 | Facility | None | $181.97 | $181.97 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $181.97 | $181.97 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $42.66 | $42.66 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $141.25 | $141.25 | $218.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $776.25 Typical High $851.14 | Facility | None | $239.88 | $776.25 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $218.78 Median $512.86 Typical High $2,089.30 | Professional | None (both parts) | $218.78 | $512.86 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $125.89 Typical High $891.25 | Professional | 26 · Professional part | $51.29 | $125.89 | $891.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $407.38 Typical High $1,621.81 | Professional | TC · Technical part | $165.96 | $407.38 | $1,621.81 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,584.89 | Facility | None | $549.54 | $1,000.00 | $1,584.89 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $194.98 | $257.04 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $891.25 Typical High $1,862.09 | Facility | None | $275.42 | $891.25 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $954.99 | Professional | None (both parts) | $288.40 | $346.74 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $223.87 | Professional | 26 · Professional part | $69.18 | $81.28 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $724.44 | Professional | TC · Technical part | $218.78 | $263.03 | $724.44 |
Fallon Health Setting Facility Modifier None Typical Low $72.44 Median $223.87 Typical High $354.81 | Facility | None | $72.44 | $223.87 | $354.81 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $72.44 | $223.87 | $354.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $257.04 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $257.04 | $446.68 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $107.15 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $107.15 | $177.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $331.13 Typical High $524.81 | Professional | TC · Technical part | $190.55 | $331.13 | $524.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $776.25 Typical High $851.14 | Facility | None | $239.88 | $776.25 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $218.78 Median $512.86 Typical High $2,089.30 | Professional | None (both parts) | $218.78 | $512.86 | $2,089.30 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $125.89 Typical High $891.25 | Professional | 26 · Professional part | $51.29 | $125.89 | $891.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $407.38 Typical High $1,621.81 | Professional | TC · Technical part | $165.96 | $407.38 | $1,621.81 |
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 $269.15 Median $346.74 Typical High $912.01 | Professional | None (both parts) | $269.15 | $346.74 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $213.80 | Professional | 26 · Professional part | $54.95 | $77.62 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $288.40 Typical High $691.83 | Professional | TC · Technical part | $208.93 | $288.40 | $691.83 |
Well Sense Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $346.74 | Facility | None | $169.82 | $234.42 | $346.74 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $95.50 | Facility | 26 · Professional part | $40.74 | $53.70 | $95.50 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $295.12 | Facility | TC · Technical part | $128.82 | $165.96 | $295.12 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $213.80 | $257.04 | $257.04 |
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 $134.90 | Professional | 52 · Reduced service | $91.20 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $54.95 | Professional | 53 · Discontinued | $36.31 | $36.31 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $218.78 | Professional | FX · Film X-ray | $147.91 | $147.91 | $218.78 |
Where Massachusetts sits
The same service costs 4.7 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
$302
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.