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 $181.97 Median $181.97 Typical High $741.31 | Facility | None | $181.97 | $181.97 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $602.56 | Professional | None (both parts) | $181.97 | $181.97 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $67.61 | Professional | 26 · Professional part | $20.42 | $20.42 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $537.03 | Professional | TC · Technical part | $162.18 | $162.18 | $537.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $229.09 Median $776.25 Typical High $891.25 | Facility | None | $229.09 | $776.25 | $891.25 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $162.18 Median $524.81 Typical High $1,348.96 | Professional | None (both parts) | $162.18 | $524.81 | $1,348.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $61.66 Typical High $269.15 | Professional | 26 · Professional part | $23.99 | $61.66 | $269.15 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $478.63 Typical High $1,174.90 | Professional | TC · Technical part | $141.25 | $478.63 | $1,174.90 |
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 $218.78 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $218.78 | $218.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $758.58 Typical High $1,995.26 | Facility | None | $288.40 | $758.58 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $954.99 | Professional | None (both parts) | $288.40 | $323.59 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $107.15 | Professional | 26 · Professional part | $33.88 | $37.15 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $851.14 | Professional | TC · Technical part | $257.04 | $295.12 | $851.14 |
Fallon Health Setting Facility Modifier None Typical Low $36.31 Median $275.42 Typical High $371.54 | Facility | None | $36.31 | $275.42 | $371.54 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $36.31 | $275.42 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $229.09 Median $457.09 Typical High $831.76 | Professional | None (both parts) | $229.09 | $457.09 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $27.54 | $53.70 | $85.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $380.19 Typical High $645.65 | Professional | TC · Technical part | $199.53 | $380.19 | $645.65 |
Health New England Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $489.78 | Facility | None | $436.52 | $436.52 | $489.78 |
Health New England Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | None (both parts) | $39.81 | $39.81 | $41.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $229.09 Median $776.25 Typical High $891.25 | Facility | None | $229.09 | $776.25 | $891.25 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $162.18 Median $524.81 Typical High $1,348.96 | Professional | None (both parts) | $162.18 | $524.81 | $1,348.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $61.66 Typical High $269.15 | Professional | 26 · Professional part | $23.99 | $61.66 | $269.15 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $478.63 Typical High $1,174.90 | Professional | TC · Technical part | $141.25 | $478.63 | $1,174.90 |
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 $117.49 Median $316.23 Typical High $912.01 | Professional | None (both parts) | $117.49 | $316.23 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $102.33 | Professional | 26 · Professional part | $26.30 | $35.48 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $281.84 Typical High $812.83 | Professional | TC · Technical part | $87.10 | $281.84 | $812.83 |
Well Sense Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $331.13 | Facility | None | $162.18 | $223.87 | $331.13 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $44.67 | Facility | 26 · Professional part | $19.05 | $25.12 | $44.67 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $331.13 | Facility | TC · Technical part | $141.25 | $186.21 | $331.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $165.96 | $199.53 | $199.53 |
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 $91.20 Median $91.20 Typical High $120.23 | Professional | 52 · Reduced service | $91.20 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $47.86 | Professional | 53 · Discontinued | $36.31 | $36.31 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $204.17 | Professional | FX · Film X-ray | $144.54 | $144.54 | $204.17 |
Where Massachusetts sits
The same service costs 4.8 times more in Alaska 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· 20th of 51
$309
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.