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 $109.65 Median $263.03 Typical High $1,288.25 | Facility | None | $109.65 | $263.03 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $346.74 | Professional | None (both parts) | $109.65 | $141.25 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $40.74 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $245.47 | Professional | TC · Technical part | $79.43 | $100.00 | $245.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $114.82 Median $467.74 Typical High $575.44 | Facility | None | $114.82 | $467.74 | $575.44 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $154.88 Typical High $165.96 | Facility | 26 · Professional part | $35.48 | $154.88 | $165.96 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $380.19 Typical High $407.38 | Facility | TC · Technical part | $79.43 | $380.19 | $407.38 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $141.25 Median $371.54 Typical High $1,513.56 | Professional | None (both parts) | $141.25 | $371.54 | $1,513.56 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $112.20 Typical High $346.74 | Professional | 26 · Professional part | $43.65 | $112.20 | $346.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $288.40 Typical High $1,230.27 | Professional | TC · Technical part | $107.15 | $288.40 | $1,230.27 |
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 $204.17 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $204.17 | $309.03 | $489.78 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $44.67 | $44.67 | $75.86 |
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 $173.78 Median $186.21 Typical High $426.58 | Professional | None (both parts) | $173.78 | $186.21 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $53.70 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $302.00 | Professional | TC · Technical part | $123.03 | $134.90 | $302.00 |
Fallon Health Setting Facility Modifier None Typical Low $51.29 Median $125.89 Typical High $213.80 | Facility | None | $51.29 | $125.89 | $213.80 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $52.48 | $134.90 | $213.80 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $154.88 | $263.03 | $426.58 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $75.86 | $131.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $186.21 Typical High $323.59 | Professional | TC · Technical part | $107.15 | $186.21 | $323.59 |
Health New England Setting Facility Modifier None Typical Low $186.21 Median $524.81 Typical High $1,148.15 | Facility | None | $186.21 | $524.81 | $1,148.15 |
Health New England Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $331.13 | Professional | None (both parts) | $57.54 | $67.61 | $331.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $114.82 Median $467.74 Typical High $575.44 | Facility | None | $114.82 | $467.74 | $575.44 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $154.88 Typical High $165.96 | Facility | 26 · Professional part | $35.48 | $154.88 | $165.96 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $380.19 Typical High $407.38 | Facility | TC · Technical part | $79.43 | $380.19 | $407.38 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $141.25 Median $371.54 Typical High $1,513.56 | Professional | None (both parts) | $141.25 | $371.54 | $1,513.56 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $112.20 Typical High $346.74 | Professional | 26 · Professional part | $43.65 | $112.20 | $346.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $288.40 Typical High $1,230.27 | Professional | TC · Technical part | $107.15 | $288.40 | $1,230.27 |
Tufts Setting Facility Modifier None Typical Low $104.71 Median $177.83 Typical High $426.58 | Facility | None | $104.71 | $177.83 | $426.58 |
Tufts Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $134.90 | $213.80 | $288.40 |
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 $141.25 Median $208.93 Typical High $467.74 | Professional | None (both parts) | $141.25 | $208.93 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $363.08 | Professional | TC · Technical part | $100.00 | $144.54 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $104.71 Median $151.36 Typical High $208.93 | Facility | None | $104.71 | $151.36 | $208.93 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $61.66 | Facility | 26 · Professional part | $30.20 | $38.02 | $61.66 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $165.96 | Facility | TC · Technical part | $74.13 | $93.33 | $165.96 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $208.93 | $208.93 | $251.19 |
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 $54.95 Median $54.95 Typical High $138.04 | Professional | 52 · Reduced service | $54.95 | $54.95 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $54.95 | Professional | 53 · Discontinued | $21.88 | $21.88 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $93.33 Median $93.33 Typical High $199.53 | Professional | CT · Older CT scanner | $93.33 | $93.33 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $190.55 | Professional | FX · Film X-ray | $89.13 | $89.13 | $190.55 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $28.18 Typical High $50.12 | Professional | 52 · Reduced service | $22.39 | $28.18 | $50.12 |
BCBS Massachusetts Setting Professional Modifier CT · Older CT scanner Typical Low $38.02 Median $50.12 Typical High $85.11 | Professional | CT · Older CT scanner | $38.02 | $50.12 | $85.11 |
Where Massachusetts sits
The same service costs 4.9 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· 29th of 51
$200
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.