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 $173.78 Median $173.78 Typical High $741.31 | Facility | None | $173.78 | $173.78 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $173.78 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $26.30 | $26.30 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | TC · Technical part | $147.91 | $147.91 | $186.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $204.17 Median $691.83 Typical High $851.14 | Facility | None | $204.17 | $691.83 | $851.14 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $165.96 Median $457.09 Typical High $1,288.25 | Professional | None (both parts) | $165.96 | $457.09 | $1,288.25 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $75.86 Typical High $363.08 | Professional | 26 · Professional part | $30.20 | $75.86 | $363.08 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $389.05 Typical High $1,096.48 | Professional | TC · Technical part | $131.83 | $389.05 | $1,096.48 |
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 $269.15 Median $269.15 Typical High $295.12 | Professional | None (both parts) | $269.15 | $269.15 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $707.95 Typical High $1,995.26 | Facility | None | $281.84 | $707.95 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $891.25 | Professional | None (both parts) | $269.15 | $302.00 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $138.04 | Professional | 26 · Professional part | $42.66 | $48.98 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $758.58 | Professional | TC · Technical part | $229.09 | $263.03 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $43.65 Median $223.87 Typical High $316.23 | Facility | None | $43.65 | $223.87 | $316.23 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $43.65 | $223.87 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $831.76 | Professional | None (both parts) | $199.53 | $398.11 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $34.67 | $64.57 | $107.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $309.03 Typical High $524.81 | Professional | TC · Technical part | $162.18 | $309.03 | $524.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $204.17 Median $691.83 Typical High $851.14 | Facility | None | $204.17 | $691.83 | $851.14 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $165.96 Median $457.09 Typical High $1,288.25 | Professional | None (both parts) | $165.96 | $457.09 | $1,288.25 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $75.86 Typical High $363.08 | Professional | 26 · Professional part | $30.20 | $75.86 | $363.08 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $389.05 Typical High $1,096.48 | Professional | TC · Technical part | $131.83 | $389.05 | $1,096.48 |
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 $169.82 Median $309.03 Typical High $851.14 | Professional | None (both parts) | $169.82 | $309.03 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $131.83 | Professional | 26 · Professional part | $32.36 | $46.77 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $257.04 Typical High $724.44 | Professional | TC · Technical part | $131.83 | $257.04 | $724.44 |
Well Sense Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $323.59 | Facility | None | $158.49 | $218.78 | $323.59 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $58.88 | Facility | 26 · Professional part | $25.12 | $33.11 | $58.88 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $309.03 | Facility | TC · Technical part | $131.83 | $173.78 | $309.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $162.18 | $194.98 | $194.98 |
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 $87.10 Median $87.10 Typical High $112.20 | Professional | 52 · Reduced service | $87.10 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $199.53 | Professional | FX · Film X-ray | $138.04 | $138.04 | $199.53 |
Where Massachusetts sits
The same service costs 4.6 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· 28th of 51
$263
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.