How much rates vary
Facilitymedian $145 · 10th to 90th $56 to $468Professionalmedian $162 · 10th to 90th $65 to $1,318
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 $302.00 Typical High $1,288.25 | Facility | None | $91.20 | $302.00 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $281.84 | Professional | None (both parts) | $91.20 | $114.82 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $95.50 | Professional | 26 · Professional part | $31.62 | $39.81 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $186.21 | Professional | TC · Technical part | $58.88 | $75.86 | $186.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $95.50 Median $380.19 Typical High $467.74 | Facility | None | $95.50 | $380.19 | $467.74 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $154.88 Typical High $162.18 | Facility | 26 · Professional part | $35.48 | $154.88 | $162.18 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $288.40 Typical High $309.03 | Facility | TC · Technical part | $60.26 | $288.40 | $309.03 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $117.49 Median $309.03 Typical High $1,318.26 | Professional | None (both parts) | $117.49 | $309.03 | $1,318.26 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $109.65 Typical High $331.13 | Professional | 26 · Professional part | $41.69 | $109.65 | $331.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $229.09 Typical High $1,096.48 | Professional | TC · Technical part | $79.43 | $229.09 | $1,096.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $173.78 Median $316.23 Typical High $501.19 | Facility | None | $173.78 | $316.23 | $501.19 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $165.96 | $234.42 | $371.54 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $43.65 | $43.65 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $575.44 Typical High $1,445.44 | Facility | None | $120.23 | $575.44 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $141.25 | $154.88 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $53.70 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $229.09 | Professional | TC · Technical part | $93.33 | $102.33 | $229.09 |
Fallon Health Setting Facility Modifier None Typical Low $50.12 Median $102.33 Typical High $177.83 | Facility | None | $50.12 | $102.33 | $177.83 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $52.48 | $107.15 | $177.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $128.82 | $223.87 | $354.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $75.86 | $128.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $141.25 | $251.19 |
Health New England Setting Facility Modifier None Typical Low $186.21 Median $501.19 Typical High $1,122.02 | Facility | None | $186.21 | $501.19 | $1,122.02 |
Health New England Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $331.13 | Professional | None (both parts) | $57.54 | $74.13 | $331.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $95.50 Median $380.19 Typical High $467.74 | Facility | None | $95.50 | $380.19 | $467.74 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $154.88 Typical High $162.18 | Facility | 26 · Professional part | $35.48 | $154.88 | $162.18 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $288.40 Typical High $309.03 | Facility | TC · Technical part | $60.26 | $288.40 | $309.03 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $117.49 Median $309.03 Typical High $1,318.26 | Professional | None (both parts) | $117.49 | $309.03 | $1,318.26 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $109.65 Typical High $331.13 | Professional | 26 · Professional part | $41.69 | $109.65 | $331.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $229.09 Typical High $1,096.48 | Professional | TC · Technical part | $79.43 | $229.09 | $1,096.48 |
Tufts Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $426.58 | Facility | None | $77.62 | $158.49 | $426.58 |
Tufts Setting Professional Modifier None (both parts) Typical Low $67.61 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $67.61 | $120.23 | $204.17 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $117.49 | $173.78 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $114.82 | Professional | 26 · Professional part | $38.90 | $56.23 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $263.03 | Professional | TC · Technical part | $75.86 | $107.15 | $263.03 |
Well Sense Setting Facility Modifier None Typical Low $85.11 Median $125.89 Typical High $169.82 | Facility | None | $85.11 | $125.89 | $169.82 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $61.66 | Facility | 26 · Professional part | $30.20 | $37.15 | $61.66 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $125.89 | Facility | TC · Technical part | $56.23 | $69.18 | $125.89 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $158.49 | $158.49 | $190.55 |
6 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 $107.15 | Professional | 52 · Reduced service | $45.71 | $45.71 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $43.65 | Professional | 53 · Discontinued | $18.20 | $18.20 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $77.62 Median $77.62 Typical High $158.49 | Professional | CT · Older CT scanner | $77.62 | $77.62 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $147.91 | Professional | FX · Film X-ray | $72.44 | $72.44 | $147.91 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $89.13 Median $154.88 Typical High $245.47 | Facility | 52 · Reduced service | $89.13 | $154.88 | $245.47 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $50.12 | Professional | 52 · Reduced service | $21.88 | $21.88 | $50.12 |
Where Massachusetts sits
The same service costs 20.4 times more in Vermont than in Utah. 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· 31st of 51
$162
VT $1,585UT $77.62
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.