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 $478.63 Median $478.63 Typical High $2,089.30 | Facility | None | $478.63 | $478.63 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $1,445.44 | Professional | None (both parts) | $478.63 | $478.63 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $109.65 | Professional | 26 · Professional part | $38.90 | $38.90 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $1,348.96 | Professional | TC · Technical part | $436.52 | $436.52 | $1,348.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $676.08 Median $2,089.30 Typical High $2,951.21 | Facility | None | $676.08 | $2,089.30 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,380.38 Typical High $3,981.07 | Professional | None (both parts) | $478.63 | $1,380.38 | $3,981.07 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $104.71 Typical High $457.09 | Professional | 26 · Professional part | $45.71 | $104.71 | $457.09 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,318.26 Typical High $3,715.35 | Professional | TC · Technical part | $446.68 | $1,318.26 | $3,715.35 |
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 $676.08 Median $870.96 Typical High $891.25 | Professional | None (both parts) | $676.08 | $870.96 | $891.25 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $50.12 | $81.28 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $2,290.87 Typical High $5,754.40 | Facility | None | $933.25 | $2,290.87 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $891.25 Typical High $2,691.53 | Professional | None (both parts) | $794.33 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $190.55 | Professional | 26 · Professional part | $58.88 | $67.61 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $831.76 Typical High $2,511.89 | Professional | TC · Technical part | $741.31 | $831.76 | $2,511.89 |
Fallon Health Setting Facility Modifier None Typical Low $60.26 Median $724.44 Typical High $933.25 | Facility | None | $60.26 | $724.44 | $933.25 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $724.44 Typical High $954.99 | Professional | None (both parts) | $60.26 | $724.44 | $954.99 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,202.26 Typical High $2,511.89 | Professional | None (both parts) | $602.56 | $1,202.26 | $2,511.89 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $50.12 | $89.13 | $147.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $1,023.29 Typical High $1,698.24 | Professional | TC · Technical part | $549.54 | $1,023.29 | $1,698.24 |
Health New England Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Health New England Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $676.08 Median $2,089.30 Typical High $2,951.21 | Facility | None | $676.08 | $2,089.30 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,380.38 Typical High $3,981.07 | Professional | None (both parts) | $478.63 | $1,380.38 | $3,981.07 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $104.71 Typical High $457.09 | Professional | 26 · Professional part | $45.71 | $104.71 | $457.09 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,318.26 Typical High $3,715.35 | Professional | TC · Technical part | $446.68 | $1,318.26 | $3,715.35 |
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 $501.19 Median $954.99 Typical High $2,570.40 | Professional | None (both parts) | $501.19 | $954.99 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $181.97 | Professional | 26 · Professional part | $48.98 | $64.57 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $891.25 Typical High $2,344.23 | Professional | TC · Technical part | $446.68 | $891.25 | $2,344.23 |
Well Sense Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $977.24 | Facility | None | $478.63 | $660.69 | $977.24 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $79.43 | Facility | 26 · Professional part | $34.67 | $44.67 | $79.43 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $575.44 Typical High $1,047.13 | Facility | TC · Technical part | $446.68 | $575.44 | $1,047.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $457.09 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $457.09 | $549.54 | $549.54 |
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 $239.88 Median $239.88 Typical High $323.59 | Professional | 52 · Reduced service | $239.88 | $239.88 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | 53 · Discontinued | $95.50 | $95.50 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | FX · Film X-ray | $380.19 | $380.19 | $524.81 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 21st of 51
$813
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.