How much rates vary
Facilitymedian $331 · 10th to 90th $115 to $1,175Professionalmedian $427 · 10th to 90th $170 to $3,311
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 $512.86 Typical High $1,288.25 | Facility | None | $234.42 | $512.86 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $707.95 | Professional | None (both parts) | $234.42 | $302.00 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $199.53 | Professional | 26 · Professional part | $67.61 | $85.11 | $199.53 |
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 $1,023.29 Typical High $1,258.93 | Facility | None | $234.42 | $1,023.29 | $1,258.93 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $323.59 Typical High $346.74 | Facility | 26 · Professional part | $75.86 | $323.59 | $346.74 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $851.14 Typical High $912.01 | Facility | TC · Technical part | $162.18 | $851.14 | $912.01 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $323.59 Median $812.83 Typical High $3,311.31 | Professional | None (both parts) | $323.59 | $812.83 | $3,311.31 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $234.42 Typical High $1,000.00 | Professional | 26 · Professional part | $89.13 | $234.42 | $1,000.00 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $616.60 Typical High $2,754.23 | Professional | TC · Technical part | $213.80 | $616.60 | $2,754.23 |
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 $93.33 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $93.33 | $93.33 | $158.49 |
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 $416.87 Typical High $933.25 | Professional | None (both parts) | $380.19 | $416.87 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $257.04 | Professional | 26 · Professional part | $93.33 | $114.82 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $676.08 | Professional | TC · Technical part | $275.42 | $302.00 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $107.15 Median $281.84 Typical High $457.09 | Facility | None | $107.15 | $281.84 | $457.09 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $109.65 | $302.00 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $354.81 Median $630.96 Typical High $933.25 | Professional | None (both parts) | $354.81 | $630.96 | $933.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $100.00 | $158.49 | $275.42 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $239.88 | $338.84 | $660.69 |
Health New England Setting Facility Modifier None Typical Low $457.09 Median $1,096.48 Typical High $1,819.70 | Facility | None | $457.09 | $1,096.48 | $1,819.70 |
Health New England Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $707.95 | Professional | None (both parts) | $123.03 | $208.93 | $707.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $234.42 Median $1,023.29 Typical High $1,258.93 | Facility | None | $234.42 | $1,023.29 | $1,258.93 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $323.59 Typical High $346.74 | Facility | 26 · Professional part | $75.86 | $323.59 | $346.74 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $851.14 Typical High $912.01 | Facility | TC · Technical part | $162.18 | $851.14 | $912.01 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $323.59 Median $812.83 Typical High $3,311.31 | Professional | None (both parts) | $323.59 | $812.83 | $3,311.31 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $234.42 Typical High $1,000.00 | Professional | 26 · Professional part | $89.13 | $234.42 | $1,000.00 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $616.60 Typical High $2,754.23 | Professional | TC · Technical part | $213.80 | $616.60 | $2,754.23 |
Tufts Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $549.54 | Facility | None | $177.83 | $338.84 | $549.54 |
Tufts Setting Professional Modifier None (both parts) Typical Low $190.55 Median $389.05 Typical High $524.81 | Professional | None (both parts) | $190.55 | $389.05 | $524.81 |
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 $309.03 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $309.03 | $446.68 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $245.47 | Professional | 26 · Professional part | $87.10 | $120.23 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $707.95 | Professional | TC · Technical part | $223.87 | $316.23 | $707.95 |
Well Sense Setting Facility Modifier None Typical Low $204.17 Median $288.40 Typical High $407.38 | Facility | None | $204.17 | $288.40 | $407.38 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $131.83 | Facility | 26 · Professional part | $64.57 | $79.43 | $131.83 |
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 $407.38 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $407.38 | $407.38 | $489.78 |
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 $117.49 Median $117.49 Typical High $223.87 | Professional | 52 · Reduced service | $117.49 | $117.49 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $91.20 | Professional | 53 · Discontinued | $46.77 | $46.77 | $91.20 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | CT · Older CT scanner | $199.53 | $199.53 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $331.13 | Professional | FX · Film X-ray | $190.55 | $190.55 | $331.13 |
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 $46.77 Median $61.66 Typical High $104.71 | Professional | 52 · Reduced service | $46.77 | $61.66 | $104.71 |
Where Massachusetts sits
The same service costs 12.3 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· 24th of 51
$427
VT $2,089UT $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.