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 $131.83 Median $309.03 Typical High $1,288.25 | Facility | None | $131.83 | $309.03 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $407.38 | Professional | None (both parts) | $131.83 | $169.82 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $128.82 | Professional | 26 · Professional part | $41.69 | $53.70 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $275.42 | Professional | TC · Technical part | $91.20 | $114.82 | $275.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $616.60 Typical High $676.08 | Facility | None | $138.04 | $616.60 | $676.08 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $204.17 Typical High $213.80 | Facility | 26 · Professional part | $46.77 | $204.17 | $213.80 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $436.52 Typical High $457.09 | Facility | TC · Technical part | $89.13 | $436.52 | $457.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $169.82 Median $436.52 Typical High $1,819.70 | Professional | None (both parts) | $169.82 | $436.52 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $147.91 Typical High $398.11 | Professional | 26 · Professional part | $56.23 | $147.91 | $398.11 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $331.13 Typical High $2,041.74 | Professional | TC · Technical part | $123.03 | $331.13 | $2,041.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $891.25 | Facility | None | $309.03 | $575.44 | $891.25 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $239.88 Median $389.05 Typical High $549.54 | Professional | None (both parts) | $239.88 | $389.05 | $549.54 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $57.54 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $977.24 Typical High $2,398.83 | Facility | None | $173.78 | $977.24 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $204.17 | $223.87 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $70.79 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $151.36 Typical High $346.74 | Professional | TC · Technical part | $141.25 | $151.36 | $346.74 |
Fallon Health Setting Facility Modifier None Typical Low $66.07 Median $147.91 Typical High $251.19 | Facility | None | $66.07 | $147.91 | $251.19 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $69.18 | $158.49 | $251.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $181.97 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $181.97 | $323.59 | $549.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $102.33 | $162.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $213.80 Typical High $371.54 | Professional | TC · Technical part | $120.23 | $213.80 | $371.54 |
Health New England Setting Facility Modifier None Typical Low $263.03 Median $575.44 Typical High $1,995.26 | Facility | None | $263.03 | $575.44 | $1,995.26 |
Health New England Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $74.13 | $87.10 | $112.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $616.60 Typical High $676.08 | Facility | None | $138.04 | $616.60 | $676.08 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $204.17 Typical High $213.80 | Facility | 26 · Professional part | $46.77 | $204.17 | $213.80 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $436.52 Typical High $457.09 | Facility | TC · Technical part | $89.13 | $436.52 | $457.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $169.82 Median $436.52 Typical High $1,819.70 | Professional | None (both parts) | $169.82 | $436.52 | $1,819.70 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $147.91 Typical High $398.11 | Professional | 26 · Professional part | $56.23 | $147.91 | $398.11 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $331.13 Typical High $2,041.74 | Professional | TC · Technical part | $123.03 | $331.13 | $2,041.74 |
United Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $691.83 | Facility | None | $245.47 | $467.74 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $169.82 | $245.47 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $57.54 | $74.13 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $436.52 | Professional | TC · Technical part | $114.82 | $165.96 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $123.03 Median $181.97 Typical High $251.19 | Facility | None | $123.03 | $181.97 | $251.19 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $81.28 | Facility | 26 · Professional part | $39.81 | $48.98 | $81.28 |
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 $302.00 | Professional | None (both parts) | $251.19 | $251.19 | $302.00 |
4 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 $66.07 Median $66.07 Typical High $162.18 | Professional | 52 · Reduced service | $66.07 | $66.07 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $64.57 | Professional | 53 · Discontinued | $26.30 | $26.30 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $112.20 Typical High $257.04 | Professional | CT · Older CT scanner | $112.20 | $112.20 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $239.88 | Professional | FX · Film X-ray | $104.71 | $104.71 | $239.88 |
Where Massachusetts sits
The same service costs 5.9 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· 30th of 51
$234
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.