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 $144.54 Median $144.54 Typical High $645.65 | Facility | None | $144.54 | $144.54 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $144.54 | $144.54 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $21.88 | Professional | 26 · Professional part | $10.96 | $10.96 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $275.42 | Professional | TC · Technical part | $134.90 | $134.90 | $275.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $181.97 Median $575.44 Typical High $1,096.48 | Facility | None | $181.97 | $575.44 | $1,096.48 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $131.83 Median $380.19 Typical High $1,071.52 | Professional | None (both parts) | $131.83 | $380.19 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $31.62 Typical High $141.25 | Professional | 26 · Professional part | $12.88 | $31.62 | $141.25 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $371.54 Typical High $977.24 | Professional | TC · Technical part | $120.23 | $371.54 | $977.24 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,047.13 | Facility | None | $524.81 | $758.58 | $1,047.13 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | None (both parts) | $245.47 | $245.47 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $707.95 Typical High $1,584.89 | Facility | None | $234.42 | $707.95 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $741.31 | Professional | None (both parts) | $223.87 | $245.47 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $56.23 | Professional | 26 · Professional part | $17.38 | $19.95 | $56.23 |
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 $18.20 Median $204.17 Typical High $263.03 | Facility | None | $18.20 | $204.17 | $263.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $18.20 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $18.20 | $204.17 | $263.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $162.18 | $323.59 | $707.95 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $15.14 | $26.92 | $44.67 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $147.91 | $281.84 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $181.97 Median $575.44 Typical High $1,096.48 | Facility | None | $181.97 | $575.44 | $1,096.48 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $131.83 Median $380.19 Typical High $1,071.52 | Professional | None (both parts) | $131.83 | $380.19 | $1,071.52 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $31.62 Typical High $141.25 | Professional | 26 · Professional part | $12.88 | $31.62 | $141.25 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $371.54 Typical High $977.24 | Professional | TC · Technical part | $120.23 | $371.54 | $977.24 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,137.96 | Facility | None | $758.58 | $1,445.44 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $251.19 Typical High $707.95 | Professional | None (both parts) | $81.28 | $251.19 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $53.70 | Professional | 26 · Professional part | $13.80 | $19.50 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $234.42 Typical High $645.65 | Professional | TC · Technical part | $66.07 | $234.42 | $645.65 |
Well Sense Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $269.15 | Facility | None | $131.83 | $181.97 | $269.15 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $24.55 | Facility | 26 · Professional part | $10.47 | $13.80 | $24.55 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $281.84 | Facility | TC · Technical part | $120.23 | $158.49 | $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 $72.44 Median $72.44 Typical High $91.20 | Professional | 52 · Reduced service | $72.44 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | 53 · Discontinued | $28.84 | $28.84 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | FX · Film X-ray | $117.49 | $117.49 | $162.18 |
Where Massachusetts sits
The same service costs 4.3 times more in Alabama than in Indiana. 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
$224
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.