How much rates vary
Facilitymedian $324 · 10th to 90th $110 to $1,148Professionalmedian $417 · 10th to 90th $135 to $3,467
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 $234.42 Median $489.78 Typical High $1,288.25 | Facility | None | $234.42 | $489.78 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $234.42 | $295.12 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $194.98 | Professional | 26 · Professional part | $64.57 | $79.43 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $213.80 | $524.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $234.42 Median $1,000.00 Typical High $1,230.27 | Facility | None | $234.42 | $1,000.00 | $1,230.27 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $316.23 Typical High $331.13 | Facility | 26 · Professional part | $72.44 | $316.23 | $331.13 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $831.76 Typical High $891.25 | Facility | TC · Technical part | $162.18 | $831.76 | $891.25 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $302.00 Median $794.33 Typical High $3,467.37 | Professional | None (both parts) | $302.00 | $794.33 | $3,467.37 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $223.87 Typical High $588.84 | Professional | 26 · Professional part | $85.11 | $223.87 | $588.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $630.96 Typical High $2,884.03 | Professional | TC · Technical part | $229.09 | $630.96 | $2,884.03 |
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 $407.38 Median $549.54 Typical High $954.99 | Professional | None (both parts) | $407.38 | $549.54 | $954.99 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $89.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $977.24 Typical High $2,398.83 | Facility | None | $302.00 | $977.24 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $407.38 Typical High $912.01 | Professional | None (both parts) | $380.19 | $407.38 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $245.47 | Professional | 26 · Professional part | $91.20 | $109.65 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $295.12 Typical High $676.08 | Professional | TC · Technical part | $275.42 | $295.12 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $102.33 Median $275.42 Typical High $446.68 | Facility | None | $102.33 | $275.42 | $446.68 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $107.15 | $295.12 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $331.13 Median $562.34 Typical High $954.99 | Professional | None (both parts) | $331.13 | $562.34 | $954.99 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $95.50 | $154.88 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $407.38 Typical High $724.44 | Professional | TC · Technical part | $234.42 | $407.38 | $724.44 |
Health New England Setting Facility Modifier None Typical Low $457.09 Median $1,148.15 Typical High $1,778.28 | Facility | None | $457.09 | $1,148.15 | $1,778.28 |
Health New England Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $117.49 | $134.90 | $199.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $234.42 Median $1,000.00 Typical High $1,230.27 | Facility | None | $234.42 | $1,000.00 | $1,230.27 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $316.23 Typical High $331.13 | Facility | 26 · Professional part | $72.44 | $316.23 | $331.13 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $831.76 Typical High $891.25 | Facility | TC · Technical part | $162.18 | $831.76 | $891.25 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $302.00 Median $794.33 Typical High $3,467.37 | Professional | None (both parts) | $302.00 | $794.33 | $3,467.37 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $223.87 Typical High $588.84 | Professional | 26 · Professional part | $85.11 | $223.87 | $588.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $630.96 Typical High $2,884.03 | Professional | TC · Technical part | $229.09 | $630.96 | $2,884.03 |
Tufts Setting Facility Modifier None Typical Low $112.20 Median $354.81 Typical High $851.14 | Facility | None | $112.20 | $354.81 | $851.14 |
Tufts Setting Professional Modifier None (both parts) Typical Low $173.78 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $173.78 | $331.13 | $446.68 |
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 $302.00 Median $436.52 Typical High $1,023.29 | Professional | None (both parts) | $302.00 | $436.52 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $239.88 | Professional | 26 · Professional part | $79.43 | $114.82 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $851.14 | Professional | TC · Technical part | $218.78 | $309.03 | $851.14 |
Well Sense Setting Facility Modifier None Typical Low $204.17 Median $302.00 Typical High $478.63 | Facility | None | $204.17 | $302.00 | $478.63 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $125.89 | Facility | 26 · Professional part | $61.66 | $75.86 | $125.89 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $331.13 | Facility | TC · Technical part | $141.25 | $177.83 | $331.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | None (both parts) | $524.81 | $524.81 | $630.96 |
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 $117.49 Median $117.49 Typical High $218.78 | Professional | 52 · Reduced service | $117.49 | $117.49 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $89.13 | Professional | 53 · Discontinued | $46.77 | $46.77 | $89.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $199.53 Typical High $338.84 | Professional | CT · Older CT scanner | $199.53 | $199.53 | $338.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $323.59 | Professional | FX · Film X-ray | $186.21 | $186.21 | $323.59 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $58.88 Typical High $102.33 | Professional | 52 · Reduced service | $44.67 | $58.88 | $102.33 |
BCBS Massachusetts Setting Professional Modifier CT · Older CT scanner Typical Low $75.86 Median $100.00 Typical High $173.78 | Professional | CT · Older CT scanner | $75.86 | $100.00 | $173.78 |
Where Massachusetts sits
The same service costs 7.6 times more in Vermont 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
$417
VT $1,288UT $170
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.