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 $281.84 Median $281.84 Typical High $1,148.15 | Facility | None | $281.84 | $281.84 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $281.84 | $281.84 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $29.51 | Professional | 26 · Professional part | $22.39 | $22.39 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | TC · Technical part | $257.04 | $257.04 | $309.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $281.84 Median $912.01 Typical High $2,951.21 | Facility | None | $281.84 | $912.01 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $218.78 Median $588.84 Typical High $1,698.24 | Professional | None (both parts) | $218.78 | $588.84 | $1,698.24 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $53.70 Typical High $371.54 | Professional | 26 · Professional part | $23.99 | $53.70 | $371.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $549.54 Typical High $1,548.82 | Professional | TC · Technical part | $190.55 | $549.54 | $1,548.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $2,818.38 | Facility | None | $1,412.54 | $2,041.74 | $2,818.38 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | None (both parts) | $275.42 | $275.42 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,412.54 Typical High $3,981.07 | Facility | None | $389.05 | $1,412.54 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $1,122.02 | Professional | None (both parts) | $338.84 | $416.87 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $97.72 | Professional | 26 · Professional part | $30.20 | $35.48 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $389.05 Typical High $1,023.29 | Professional | TC · Technical part | $309.03 | $389.05 | $1,023.29 |
Fallon Health Setting Facility Modifier None Typical Low $31.62 Median $316.23 Typical High $407.38 | Facility | None | $31.62 | $316.23 | $407.38 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $31.62 | $316.23 | $407.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $263.03 Median $524.81 Typical High $1,174.90 | Professional | None (both parts) | $263.03 | $524.81 | $1,174.90 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $28.18 | $46.77 | $77.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $724.44 | Professional | TC · Technical part | $234.42 | $436.52 | $724.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $281.84 Median $912.01 Typical High $2,951.21 | Facility | None | $281.84 | $912.01 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $218.78 Median $588.84 Typical High $1,698.24 | Professional | None (both parts) | $218.78 | $588.84 | $1,698.24 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $53.70 Typical High $371.54 | Professional | 26 · Professional part | $23.99 | $53.70 | $371.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $549.54 Typical High $1,548.82 | Professional | TC · Technical part | $190.55 | $549.54 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $5,128.61 | Facility | None | $1,819.70 | $3,388.44 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $1,071.52 | Professional | None (both parts) | $223.87 | $398.11 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $93.33 | Professional | 26 · Professional part | $28.18 | $33.88 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $977.24 | Professional | TC · Technical part | $190.55 | $371.54 | $977.24 |
Well Sense Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $416.87 | Facility | None | $199.53 | $275.42 | $416.87 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $41.69 | Facility | 26 · Professional part | $17.78 | $23.44 | $41.69 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $426.58 | Facility | TC · Technical part | $181.97 | $239.88 | $426.58 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $251.19 | $302.00 | $302.00 |
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 $138.04 Median $138.04 Typical High $169.82 | Professional | 52 · Reduced service | $138.04 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | 53 · Discontinued | $56.23 | $56.23 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $309.03 | Professional | FX · Film X-ray | $223.87 | $223.87 | $309.03 |
Where Massachusetts sits
The same service costs 4.3 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· 28th of 51
$347
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.