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 $269.15 Median $269.15 Typical High $1,174.90 | Facility | None | $269.15 | $269.15 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $269.15 | $269.15 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $30.90 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $457.09 | Professional | TC · Technical part | $239.88 | $239.88 | $457.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $309.03 Median $1,000.00 Typical High $2,951.21 | Facility | None | $309.03 | $1,000.00 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $257.04 Median $660.69 Typical High $1,905.46 | Professional | None (both parts) | $257.04 | $660.69 | $1,905.46 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $79.43 Typical High $426.58 | Professional | 26 · Professional part | $36.31 | $79.43 | $426.58 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $602.56 Typical High $1,659.59 | Professional | TC · Technical part | $229.09 | $602.56 | $1,659.59 |
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 $309.03 Median $407.38 Typical High $467.74 | Professional | None (both parts) | $309.03 | $407.38 | $467.74 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $60.26 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,412.54 Typical High $4,073.80 | Facility | None | $426.58 | $1,412.54 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $426.58 Typical High $1,288.25 | Professional | None (both parts) | $380.19 | $426.58 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $151.36 | Professional | 26 · Professional part | $46.77 | $53.70 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $407.38 Typical High $1,122.02 | Professional | TC · Technical part | $338.84 | $407.38 | $1,122.02 |
Fallon Health Setting Facility Modifier None Typical Low $46.77 Median $331.13 Typical High $457.09 | Facility | None | $46.77 | $331.13 | $457.09 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $46.77 | $338.84 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $323.59 Median $562.34 Typical High $1,230.27 | Professional | None (both parts) | $323.59 | $562.34 | $1,230.27 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $70.79 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $467.74 Typical High $776.25 | Professional | TC · Technical part | $257.04 | $467.74 | $776.25 |
Health New England Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Mass General Brigham Setting Facility Modifier None Typical Low $309.03 Median $1,000.00 Typical High $2,951.21 | Facility | None | $309.03 | $1,000.00 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $257.04 Median $660.69 Typical High $1,905.46 | Professional | None (both parts) | $257.04 | $660.69 | $1,905.46 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $79.43 Typical High $426.58 | Professional | 26 · Professional part | $36.31 | $79.43 | $426.58 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $602.56 Typical High $1,659.59 | Professional | TC · Technical part | $229.09 | $602.56 | $1,659.59 |
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 $269.15 Median $457.09 Typical High $1,230.27 | Professional | None (both parts) | $269.15 | $457.09 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $141.25 | Professional | 26 · Professional part | $38.90 | $51.29 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $407.38 Typical High $1,071.52 | Professional | TC · Technical part | $229.09 | $407.38 | $1,071.52 |
Well Sense Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $467.74 | Facility | None | $229.09 | $316.23 | $467.74 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $63.10 | Facility | 26 · Professional part | $27.54 | $35.48 | $63.10 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $467.74 | Facility | TC · Technical part | $199.53 | $263.03 | $467.74 |
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 $134.90 Median $134.90 Typical High $165.96 | Professional | 52 · Reduced service | $134.90 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $66.07 | Professional | 53 · Discontinued | $53.70 | $53.70 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | FX · Film X-ray | $213.80 | $213.80 | $302.00 |
Where Massachusetts sits
The same service costs 3.7 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
$389
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.