How much rates vary
Facilitymedian $229 · 10th to 90th $78 to $741Professionalmedian $269 · 10th to 90th $89 to $1,950
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 $177.83 Median $302.00 Typical High $1,288.25 | Facility | None | $177.83 | $302.00 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $181.97 | $204.17 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $134.90 | Professional | 26 · Professional part | $45.71 | $56.23 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $144.54 Typical High $309.03 | Professional | TC · Technical part | $134.90 | $144.54 | $309.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $151.36 Median $660.69 Typical High $741.31 | Facility | None | $151.36 | $660.69 | $741.31 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $208.93 Typical High $223.87 | Facility | 26 · Professional part | $47.86 | $208.93 | $223.87 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $489.78 Typical High $512.86 | Facility | TC · Technical part | $102.33 | $489.78 | $512.86 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $190.55 Median $489.78 Typical High $1,949.84 | Professional | None (both parts) | $190.55 | $489.78 | $1,949.84 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $147.91 Typical High $467.74 | Professional | 26 · Professional part | $57.54 | $147.91 | $467.74 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $380.19 Typical High $1,621.81 | Professional | TC · Technical part | $141.25 | $380.19 | $1,621.81 |
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 $263.03 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $263.03 | $380.19 | $630.96 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $60.26 | $60.26 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $977.24 Typical High $2,398.83 | Facility | None | $181.97 | $977.24 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $223.87 | $245.47 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $74.13 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $169.82 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $169.82 | $389.05 |
Fallon Health Setting Facility Modifier None Typical Low $69.18 Median $162.18 Typical High $275.42 | Facility | None | $69.18 | $162.18 | $275.42 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $70.79 | $173.78 | $275.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $199.53 | $354.81 | $562.34 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $104.71 | $169.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $134.90 | $251.19 | $416.87 |
Health New England Setting Facility Modifier None Typical Low $331.13 Median $741.31 Typical High $1,584.89 | Facility | None | $331.13 | $741.31 | $1,584.89 |
Health New England Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $457.09 | Professional | None (both parts) | $79.43 | $117.49 | $457.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $151.36 Median $660.69 Typical High $741.31 | Facility | None | $151.36 | $660.69 | $741.31 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $208.93 Typical High $223.87 | Facility | 26 · Professional part | $47.86 | $208.93 | $223.87 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $489.78 Typical High $512.86 | Facility | TC · Technical part | $102.33 | $489.78 | $512.86 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $190.55 Median $489.78 Typical High $1,949.84 | Professional | None (both parts) | $190.55 | $489.78 | $1,949.84 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $147.91 Typical High $467.74 | Professional | 26 · Professional part | $57.54 | $147.91 | $467.74 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $380.19 Typical High $1,621.81 | Professional | TC · Technical part | $141.25 | $380.19 | $1,621.81 |
Tufts Setting Facility Modifier None Typical Low $169.82 Median $275.42 Typical High $489.78 | Facility | None | $169.82 | $275.42 | $489.78 |
Tufts Setting Professional Modifier None (both parts) Typical Low $114.82 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $114.82 | $213.80 | $338.84 |
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 $199.53 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $199.53 | $281.84 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $56.23 | $83.18 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $426.58 | Professional | TC · Technical part | $141.25 | $194.98 | $426.58 |
Well Sense Setting Facility Modifier None Typical Low $134.90 Median $199.53 Typical High $269.15 | Facility | None | $134.90 | $199.53 | $269.15 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $85.11 | Facility | 26 · Professional part | $40.74 | $51.29 | $85.11 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $204.17 | Facility | TC · Technical part | $95.50 | $117.49 | $204.17 |
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 |
7 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 $91.20 Median $91.20 Typical High $169.82 | Professional | 52 · Reduced service | $91.20 | $91.20 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $69.18 | Professional | 53 · Discontinued | $36.31 | $36.31 | $69.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $154.88 Typical High $251.19 | Professional | CT · Older CT scanner | $154.88 | $154.88 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $234.42 | Professional | FX · Film X-ray | $144.54 | $144.54 | $234.42 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $158.49 Median $281.84 Typical High $446.68 | Facility | 52 · Reduced service | $158.49 | $281.84 | $446.68 |
BCBS Massachusetts Setting Facility Modifier CT · Older CT scanner Typical Low $275.42 Median $478.63 Typical High $758.58 | Facility | CT · Older CT scanner | $275.42 | $478.63 | $758.58 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $131.83 Typical High $371.54 | Professional | 52 · Reduced service | $30.20 | $131.83 | $371.54 |
Where Massachusetts sits
The same service costs 5.9 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· 29th of 51
$263
VT $741UT $126
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.