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 $144.54 Median $323.59 Typical High $1,288.25 | Facility | None | $144.54 | $323.59 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $416.87 | Professional | None (both parts) | $144.54 | $181.97 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $141.25 | Professional | 26 · Professional part | $47.86 | $57.54 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $120.23 | $275.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $141.25 Median $575.44 Typical High $691.83 | Facility | None | $141.25 | $575.44 | $691.83 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $229.09 Typical High $245.47 | Facility | 26 · Professional part | $53.70 | $229.09 | $245.47 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $426.58 Typical High $457.09 | Facility | TC · Technical part | $89.13 | $426.58 | $457.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $181.97 Median $457.09 Typical High $1,778.28 | Professional | None (both parts) | $181.97 | $457.09 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $165.96 Typical High $524.81 | Professional | 26 · Professional part | $61.66 | $165.96 | $524.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $331.13 Typical High $1,412.54 | Professional | TC · Technical part | $138.04 | $331.13 | $1,412.54 |
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 $245.47 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $245.47 | $309.03 | $549.54 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $66.07 | $66.07 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $575.44 Typical High $1,445.44 | Facility | None | $134.90 | $575.44 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $213.80 | $229.09 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $181.97 | Professional | 26 · Professional part | $66.07 | $81.28 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $346.74 | Professional | TC · Technical part | $138.04 | $151.36 | $346.74 |
Fallon Health Setting Facility Modifier None Typical Low $75.86 Median $141.25 Typical High $257.04 | Facility | None | $75.86 | $141.25 | $257.04 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $77.62 | $158.49 | $263.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $190.55 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $190.55 | $316.23 | $524.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $186.21 | Professional | 26 · Professional part | $69.18 | $114.82 | $186.21 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $208.93 Typical High $371.54 | Professional | TC · Technical part | $120.23 | $208.93 | $371.54 |
Health New England Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $1,445.44 | Facility | None | $380.19 | $512.86 | $1,445.44 |
Health New England Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $501.19 | Professional | None (both parts) | $89.13 | $104.71 | $501.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $141.25 Median $575.44 Typical High $691.83 | Facility | None | $141.25 | $575.44 | $691.83 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $229.09 Typical High $245.47 | Facility | 26 · Professional part | $53.70 | $229.09 | $245.47 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $426.58 Typical High $457.09 | Facility | TC · Technical part | $89.13 | $426.58 | $457.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $181.97 Median $457.09 Typical High $1,778.28 | Professional | None (both parts) | $181.97 | $457.09 | $1,778.28 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $165.96 Typical High $524.81 | Professional | 26 · Professional part | $61.66 | $165.96 | $524.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $331.13 Typical High $1,412.54 | Professional | TC · Technical part | $138.04 | $331.13 | $1,412.54 |
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 $204.17 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $204.17 | $281.84 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $57.54 | $85.11 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $436.52 | Professional | TC · Technical part | $138.04 | $199.53 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $251.19 | Facility | None | $128.82 | $177.83 | $251.19 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $93.33 | Facility | 26 · Professional part | $45.71 | $56.23 | $93.33 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $194.98 | Facility | TC · Technical part | $83.18 | $104.71 | $194.98 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $251.19 | $251.19 | $295.12 |
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 $72.44 Median $72.44 Typical High $138.04 | Professional | 52 · Reduced service | $72.44 | $72.44 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $54.95 | Professional | 53 · Discontinued | $28.84 | $28.84 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $123.03 Typical High $204.17 | Professional | CT · Older CT scanner | $123.03 | $123.03 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $194.98 | Professional | FX · Film X-ray | $114.82 | $114.82 | $194.98 |
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 $33.11 Median $37.15 Typical High $74.13 | Professional | 52 · Reduced service | $33.11 | $37.15 | $74.13 |
Where Massachusetts sits
The same service costs 6.2 times more in Alaska 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· 22nd of 51
$257
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.