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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $91.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $52.48 | $52.48 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | TC · Technical part | $38.90 | $38.90 | $48.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $154.88 Median $407.38 Typical High $562.34 | Facility | None | $154.88 | $407.38 | $562.34 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $95.50 Median $316.23 Typical High $1,202.26 | Professional | None (both parts) | $95.50 | $316.23 | $1,202.26 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $239.88 Typical High $1,202.26 | Professional | 26 · Professional part | $66.07 | $239.88 | $1,202.26 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $151.36 Typical High $630.96 | Professional | TC · Technical part | $60.26 | $151.36 | $630.96 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | None (both parts) | $51.29 | $51.29 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $346.74 Typical High $1,445.44 | Facility | None | $70.79 | $346.74 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $446.68 | Professional | None (both parts) | $134.90 | $173.78 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $257.04 | Professional | 26 · Professional part | $77.62 | $100.00 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $57.54 | $70.79 | $151.36 |
Fallon Health Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $173.78 | Facility | None | $66.07 | $87.10 | $173.78 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $69.18 | $87.10 | $169.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $107.15 Median $218.78 Typical High $416.87 | Professional | None (both parts) | $107.15 | $218.78 | $416.87 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $75.86 | $128.82 | $204.17 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $50.12 | $91.20 | $154.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $154.88 Median $407.38 Typical High $562.34 | Facility | None | $154.88 | $407.38 | $562.34 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $95.50 Median $316.23 Typical High $1,202.26 | Professional | None (both parts) | $95.50 | $316.23 | $1,202.26 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $239.88 Typical High $1,202.26 | Professional | 26 · Professional part | $66.07 | $239.88 | $1,202.26 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $151.36 Typical High $630.96 | Professional | TC · Technical part | $60.26 | $151.36 | $630.96 |
United Setting Facility Modifier None Typical Low $323.59 Median $616.60 Typical High $912.01 | Facility | None | $323.59 | $616.60 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $125.89 | $208.93 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $239.88 | Professional | 26 · Professional part | $70.79 | $89.13 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $97.72 Typical High $218.78 | Professional | TC · Technical part | $53.70 | $97.72 | $218.78 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $104.71 | Facility | 26 · Professional part | $46.77 | $61.66 | $104.71 |
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 $45.71 Median $45.71 Typical High $57.54 | Professional | 52 · Reduced service | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $22.91 | Professional | 53 · Discontinued | $18.20 | $18.20 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | FX · Film X-ray | $74.13 | $74.13 | $75.86 |
Where Massachusetts sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 33rd of 51
$155
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.