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 $141.25 Median $181.97 Typical High $691.83 | Facility | None | $141.25 | $181.97 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $380.19 | Professional | None (both parts) | $141.25 | $141.25 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $43.65 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $97.72 | $263.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $616.60 Typical High $1,096.48 | Facility | None | $194.98 | $616.60 | $1,096.48 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $177.83 Median $407.38 Typical High $1,819.70 | Professional | None (both parts) | $177.83 | $407.38 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $125.89 Typical High $537.03 | Professional | 26 · Professional part | $51.29 | $125.89 | $537.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $302.00 Typical High $1,258.93 | Professional | TC · Technical part | $123.03 | $302.00 | $1,258.93 |
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 $190.55 Median $190.55 Typical High $194.98 | Professional | None (both parts) | $190.55 | $190.55 | $194.98 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $60.26 | $91.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $602.56 Typical High $1,995.26 | Facility | None | $208.93 | $602.56 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $776.25 | Professional | None (both parts) | $239.88 | $263.03 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $229.09 | Professional | 26 · Professional part | $70.79 | $81.28 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $549.54 | Professional | TC · Technical part | $169.82 | $181.97 | $549.54 |
Fallon Health Setting Facility Modifier None Typical Low $70.79 Median $169.82 Typical High $288.40 | Facility | None | $70.79 | $169.82 | $288.40 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $70.79 | $177.83 | $288.40 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $141.25 Median $295.12 Typical High $741.31 | Professional | None (both parts) | $141.25 | $295.12 | $741.31 |
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 $141.25 Median $234.42 Typical High $389.05 | Professional | TC · Technical part | $141.25 | $234.42 | $389.05 |
Health New England Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $1,819.70 | Facility | None | $288.40 | $426.58 | $1,819.70 |
Health New England Setting Professional Modifier None (both parts) Typical Low $79.43 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $79.43 | $134.90 | $134.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $616.60 Typical High $1,096.48 | Facility | None | $194.98 | $616.60 | $1,096.48 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $177.83 Median $407.38 Typical High $1,819.70 | Professional | None (both parts) | $177.83 | $407.38 | $1,819.70 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $125.89 Typical High $537.03 | Professional | 26 · Professional part | $51.29 | $125.89 | $537.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $302.00 Typical High $1,258.93 | Professional | TC · Technical part | $123.03 | $302.00 | $1,258.93 |
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 $208.93 Median $275.42 Typical High $741.31 | Professional | None (both parts) | $208.93 | $275.42 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $218.78 | Professional | 26 · Professional part | $54.95 | $77.62 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $524.81 | Professional | TC · Technical part | $144.54 | $194.98 | $524.81 |
Well Sense Setting Facility Modifier None Typical Low $134.90 Median $186.21 Typical High $281.84 | Facility | None | $134.90 | $186.21 | $281.84 |
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 $95.50 Median $123.03 Typical High $218.78 | Facility | TC · Technical part | $95.50 | $123.03 | $218.78 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $144.54 | $173.78 | $173.78 |
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 $70.79 Median $70.79 Typical High $100.00 | Professional | 52 · Reduced service | $70.79 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | 53 · Discontinued | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $162.18 | Professional | FX · Film X-ray | $112.20 | $112.20 | $162.18 |
Where Massachusetts sits
The same service costs 4.4 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· 25th 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.