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 $162.18 Median $1,288.25 Typical High $1,412.54 | Facility | None | $162.18 | $1,288.25 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $489.78 | Professional | None (both parts) | $162.18 | $162.18 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $144.54 | Professional | 26 · Professional part | $46.77 | $46.77 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $346.74 | Professional | TC · Technical part | $114.82 | $114.82 | $346.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $165.96 Median $691.83 Typical High $812.83 | Facility | None | $165.96 | $691.83 | $812.83 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $229.09 Typical High $239.88 | Facility | 26 · Professional part | $52.48 | $229.09 | $239.88 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $549.54 Typical High $575.44 | Facility | TC · Technical part | $112.20 | $549.54 | $575.44 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $208.93 Median $537.03 Typical High $2,187.76 | Professional | None (both parts) | $208.93 | $537.03 | $2,187.76 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $154.88 Typical High $478.63 | Professional | 26 · Professional part | $63.10 | $154.88 | $478.63 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $416.87 Typical High $1,778.28 | Professional | TC · Technical part | $154.88 | $416.87 | $1,778.28 |
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 $331.13 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $331.13 | $478.63 | $707.95 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $64.57 | $64.57 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $977.24 Typical High $2,398.83 | Facility | None | $204.17 | $977.24 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $616.60 | Professional | None (both parts) | $251.19 | $269.15 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $177.83 | Professional | 26 · Professional part | $66.07 | $79.43 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $190.55 Typical High $436.52 | Professional | TC · Technical part | $173.78 | $190.55 | $436.52 |
Fallon Health Setting Facility Modifier None Typical Low $74.13 Median $177.83 Typical High $309.03 | Facility | None | $74.13 | $177.83 | $309.03 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $77.62 | $190.55 | $309.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $223.87 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $223.87 | $389.05 | $630.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $114.82 | $181.97 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $151.36 | $263.03 | $467.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $165.96 Median $691.83 Typical High $812.83 | Facility | None | $165.96 | $691.83 | $812.83 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $229.09 Typical High $239.88 | Facility | 26 · Professional part | $52.48 | $229.09 | $239.88 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $549.54 Typical High $575.44 | Facility | TC · Technical part | $112.20 | $549.54 | $575.44 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $208.93 Median $537.03 Typical High $2,187.76 | Professional | None (both parts) | $208.93 | $537.03 | $2,187.76 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $154.88 Typical High $478.63 | Professional | 26 · Professional part | $63.10 | $154.88 | $478.63 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $416.87 Typical High $1,778.28 | Professional | TC · Technical part | $154.88 | $416.87 | $1,778.28 |
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 $208.93 Median $302.00 Typical High $676.08 | Professional | None (both parts) | $208.93 | $302.00 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $83.18 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $549.54 | Professional | TC · Technical part | $147.91 | $208.93 | $549.54 |
Well Sense Setting Facility Modifier None Typical Low $151.36 Median $218.78 Typical High $309.03 | Facility | None | $151.36 | $218.78 | $309.03 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $91.20 | Facility | 26 · Professional part | $44.67 | $54.95 | $91.20 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $245.47 | Facility | TC · Technical part | $104.71 | $131.83 | $245.47 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $309.03 | $309.03 | $371.54 |
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 $81.28 Median $81.28 Typical High $186.21 | Professional | 52 · Reduced service | $81.28 | $81.28 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $74.13 | Professional | 53 · Discontinued | $32.36 | $32.36 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $138.04 Typical High $309.03 | Professional | CT · Older CT scanner | $138.04 | $138.04 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $288.40 | Professional | FX · Film X-ray | $128.82 | $128.82 | $288.40 |
Where Massachusetts sits
The same service costs 5.1 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
$295
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.