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 $190.55 Median $190.55 Typical High $851.14 | Facility | None | $190.55 | $190.55 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $190.55 | $190.55 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $34.67 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $251.19 | Professional | TC · Technical part | $158.49 | $158.49 | $251.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $758.58 Typical High $1,096.48 | Facility | None | $239.88 | $758.58 | $1,096.48 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $213.80 Median $501.19 Typical High $1,584.89 | Professional | None (both parts) | $213.80 | $501.19 | $1,584.89 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $100.00 Typical High $467.74 | Professional | 26 · Professional part | $40.74 | $100.00 | $467.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $426.58 Typical High $1,148.15 | Professional | TC · Technical part | $173.78 | $426.58 | $1,148.15 |
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 $281.84 Median $281.84 Typical High $316.23 | Professional | None (both parts) | $281.84 | $281.84 | $316.23 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $72.44 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $776.25 Typical High $1,995.26 | Facility | None | $295.12 | $776.25 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $323.59 Typical High $977.24 | Professional | None (both parts) | $295.12 | $323.59 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $177.83 | Professional | 26 · Professional part | $54.95 | $63.10 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $269.15 Typical High $794.33 | Professional | TC · Technical part | $239.88 | $269.15 | $794.33 |
Fallon Health Setting Facility Modifier None Typical Low $57.54 Median $239.88 Typical High $346.74 | Facility | None | $57.54 | $239.88 | $346.74 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $57.54 | $239.88 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $251.19 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $251.19 | $436.52 | $912.01 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $46.77 | $85.11 | $141.25 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $331.13 Typical High $549.54 | Professional | TC · Technical part | $181.97 | $331.13 | $549.54 |
Health New England Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $977.24 | Facility | None | $457.09 | $478.63 | $977.24 |
Health New England Setting Professional Modifier None (both parts) Typical Low $63.10 Median $64.57 Typical High $67.61 | Professional | None (both parts) | $63.10 | $64.57 | $67.61 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $758.58 Typical High $1,096.48 | Facility | None | $239.88 | $758.58 | $1,096.48 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $213.80 Median $501.19 Typical High $1,584.89 | Professional | None (both parts) | $213.80 | $501.19 | $1,584.89 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $100.00 Typical High $467.74 | Professional | 26 · Professional part | $40.74 | $100.00 | $467.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $426.58 Typical High $1,148.15 | Professional | TC · Technical part | $173.78 | $426.58 | $1,148.15 |
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 $229.09 Median $338.84 Typical High $933.25 | Professional | None (both parts) | $229.09 | $338.84 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $169.82 | Professional | 26 · Professional part | $43.65 | $61.66 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $275.42 Typical High $758.58 | Professional | TC · Technical part | $181.97 | $275.42 | $758.58 |
Well Sense Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $354.81 | Facility | None | $173.78 | $239.88 | $354.81 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $75.86 | Facility | 26 · Professional part | $32.36 | $42.66 | $75.86 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $323.59 | Facility | TC · Technical part | $141.25 | $181.97 | $323.59 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $186.21 | $223.87 | $223.87 |
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 $95.50 Median $95.50 Typical High $123.03 | Professional | 52 · Reduced service | $95.50 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | 53 · Discontinued | $38.02 | $38.02 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | FX · Film X-ray | $154.88 | $154.88 | $213.80 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 31st of 51
$288
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.