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 $154.88 Median $154.88 Typical High $630.96 | Facility | None | $154.88 | $154.88 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $407.38 | Professional | None (both parts) | $154.88 | $154.88 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $48.98 | Professional | 26 · Professional part | $16.22 | $16.22 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $138.04 | $354.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $186.21 Median $616.60 Typical High $851.14 | Facility | None | $186.21 | $616.60 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $138.04 Median $398.11 Typical High $1,122.02 | Professional | None (both parts) | $138.04 | $398.11 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $46.77 Typical High $208.93 | Professional | 26 · Professional part | $18.62 | $46.77 | $208.93 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $371.54 Typical High $1,000.00 | Professional | TC · Technical part | $120.23 | $371.54 | $1,000.00 |
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 $263.03 | Professional | None (both parts) | $245.47 | $245.47 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $630.96 Typical High $1,584.89 | Facility | None | $257.04 | $630.96 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $758.58 | Professional | None (both parts) | $229.09 | $257.04 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $85.11 | Professional | 26 · Professional part | $25.70 | $30.20 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $676.08 | Professional | TC · Technical part | $204.17 | $234.42 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $26.30 Median $208.93 Typical High $281.84 | Facility | None | $26.30 | $208.93 | $281.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $26.30 | $208.93 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $169.82 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $169.82 | $380.19 | $724.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $21.38 | $39.81 | $66.07 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $478.63 | Professional | TC · Technical part | $154.88 | $239.88 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $186.21 Median $616.60 Typical High $851.14 | Facility | None | $186.21 | $616.60 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $138.04 Median $398.11 Typical High $1,122.02 | Professional | None (both parts) | $138.04 | $398.11 | $1,122.02 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $46.77 Typical High $208.93 | Professional | 26 · Professional part | $18.62 | $46.77 | $208.93 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $371.54 Typical High $1,000.00 | Professional | TC · Technical part | $120.23 | $371.54 | $1,000.00 |
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 $144.54 Median $269.15 Typical High $724.44 | Professional | None (both parts) | $144.54 | $269.15 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $79.43 | Professional | 26 · Professional part | $19.95 | $28.84 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $239.88 Typical High $645.65 | Professional | TC · Technical part | $117.49 | $239.88 | $645.65 |
Well Sense Setting Facility Modifier None Typical Low $134.90 Median $186.21 Typical High $275.42 | Facility | None | $134.90 | $186.21 | $275.42 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $35.48 | Facility | 26 · Professional part | $15.14 | $19.95 | $35.48 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $281.84 | Facility | TC · Technical part | $120.23 | $154.88 | $281.84 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $138.04 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $138.04 | $165.96 | $165.96 |
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 $75.86 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $75.86 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $30.90 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $173.78 | Professional | FX · Film X-ray | $123.03 | $123.03 | $173.78 |
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· 21st of 51
$240
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.