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 $218.78 Median $1,288.25 Typical High $1,412.54 | Facility | None | $218.78 | $1,288.25 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $588.84 | Professional | None (both parts) | $218.78 | $218.78 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $181.97 | Professional | 26 · Professional part | $53.70 | $58.88 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $398.11 | Professional | TC · Technical part | $165.96 | $165.96 | $398.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $199.53 Median $794.33 Typical High $977.24 | Facility | None | $199.53 | $794.33 | $977.24 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $288.40 Typical High $302.00 | Facility | 26 · Professional part | $66.07 | $288.40 | $302.00 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $630.96 Typical High $676.08 | Facility | TC · Technical part | $131.83 | $630.96 | $676.08 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $251.19 Median $630.96 Typical High $2,137.96 | Professional | None (both parts) | $251.19 | $630.96 | $2,137.96 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $204.17 Typical High $489.78 | Professional | 26 · Professional part | $77.62 | $204.17 | $489.78 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $467.74 Typical High $1,995.26 | Professional | TC · Technical part | $181.97 | $467.74 | $1,995.26 |
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 $346.74 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $346.74 | $457.09 | $812.83 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $83.18 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $977.24 Typical High $2,398.83 | Facility | None | $239.88 | $977.24 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $741.31 | Professional | None (both parts) | $281.84 | $323.59 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $223.87 | Professional | 26 · Professional part | $79.43 | $102.33 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $218.78 Typical High $512.86 | Professional | TC · Technical part | $204.17 | $218.78 | $512.86 |
Fallon Health Setting Facility Modifier None Typical Low $93.33 Median $208.93 Typical High $363.08 | Facility | None | $93.33 | $208.93 | $363.08 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $97.72 | $229.09 | $363.08 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $263.03 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $263.03 | $446.68 | $707.95 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $131.83 Typical High $245.47 | Professional | 26 · Professional part | $83.18 | $131.83 | $245.47 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $309.03 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $309.03 | $501.19 |
Health New England Setting Facility Modifier None Typical Low $380.19 Median $1,122.02 Typical High $1,778.28 | Facility | None | $380.19 | $1,122.02 | $1,778.28 |
Health New England Setting Professional Modifier None (both parts) Typical Low $107.15 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $107.15 | $190.55 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $199.53 Median $794.33 Typical High $977.24 | Facility | None | $199.53 | $794.33 | $977.24 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $288.40 Typical High $302.00 | Facility | 26 · Professional part | $66.07 | $288.40 | $302.00 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $630.96 Typical High $676.08 | Facility | TC · Technical part | $131.83 | $630.96 | $676.08 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $251.19 Median $630.96 Typical High $2,137.96 | Professional | None (both parts) | $251.19 | $630.96 | $2,137.96 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $204.17 Typical High $489.78 | Professional | 26 · Professional part | $77.62 | $204.17 | $489.78 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $467.74 Typical High $1,995.26 | Professional | TC · Technical part | $181.97 | $467.74 | $1,995.26 |
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 $251.19 Median $346.74 Typical High $707.95 | Professional | None (both parts) | $251.19 | $346.74 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $107.15 Typical High $218.78 | Professional | 26 · Professional part | $69.18 | $107.15 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $245.47 | $524.81 |
Well Sense Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $354.81 | Facility | None | $181.97 | $263.03 | $354.81 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $117.49 | Facility | 26 · Professional part | $56.23 | $70.79 | $117.49 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $257.04 | Facility | TC · Technical part | $123.03 | $154.88 | $257.04 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $302.00 | $302.00 | $363.08 |
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 $109.65 Median $109.65 Typical High $204.17 | Professional | 52 · Reduced service | $109.65 | $109.65 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $83.18 | Professional | 53 · Discontinued | $43.65 | $43.65 | $83.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | CT · Older CT scanner | $186.21 | $186.21 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $281.84 | Professional | FX · Film X-ray | $177.83 | $177.83 | $281.84 |
Where Massachusetts sits
The same service costs 6.3 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· 26th of 51
$347
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.