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 $181.97 Median $1,174.90 Typical High $1,288.25 | Facility | None | $181.97 | $1,174.90 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $446.68 | Professional | None (both parts) | $181.97 | $181.97 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $44.67 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $309.03 | Professional | TC · Technical part | $134.90 | $134.90 | $309.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $151.36 Median $676.08 Typical High $758.58 | Facility | None | $151.36 | $676.08 | $758.58 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $218.78 Typical High $234.42 | Facility | 26 · Professional part | $50.12 | $218.78 | $234.42 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $489.78 Typical High $524.81 | Facility | TC · Technical part | $102.33 | $489.78 | $524.81 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $194.98 Median $489.78 Typical High $1,949.84 | Professional | None (both parts) | $194.98 | $489.78 | $1,949.84 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $154.88 Typical High $446.68 | Professional | 26 · Professional part | $58.88 | $154.88 | $446.68 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $380.19 Typical High $1,949.84 | Professional | TC · Technical part | $141.25 | $380.19 | $1,949.84 |
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 $269.15 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $269.15 | $380.19 | $630.96 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $63.10 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $977.24 Typical High $2,398.83 | Facility | None | $186.21 | $977.24 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $251.19 Typical High $562.34 | Professional | None (both parts) | $229.09 | $251.19 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $77.62 | $169.82 |
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 $72.44 Median $162.18 Typical High $281.84 | Facility | None | $72.44 | $162.18 | $281.84 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $74.13 | $177.83 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $204.17 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $204.17 | $354.81 | $562.34 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $66.07 | $107.15 | $186.21 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $138.04 | $251.19 | $416.87 |
Health New England Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $1,445.44 | Facility | None | $398.11 | $549.54 | $1,445.44 |
Health New England Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $95.50 | Professional | None (both parts) | $81.28 | $93.33 | $95.50 |
Mass General Brigham Setting Facility Modifier None Typical Low $151.36 Median $676.08 Typical High $758.58 | Facility | None | $151.36 | $676.08 | $758.58 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $218.78 Typical High $234.42 | Facility | 26 · Professional part | $50.12 | $218.78 | $234.42 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $489.78 Typical High $524.81 | Facility | TC · Technical part | $102.33 | $489.78 | $524.81 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $194.98 Median $489.78 Typical High $1,949.84 | Professional | None (both parts) | $194.98 | $489.78 | $1,949.84 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $154.88 Typical High $446.68 | Professional | 26 · Professional part | $58.88 | $154.88 | $446.68 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $380.19 Typical High $1,949.84 | Professional | TC · Technical part | $141.25 | $380.19 | $1,949.84 |
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 $288.40 Typical High $575.44 | Professional | None (both parts) | $199.53 | $288.40 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $81.28 | $165.96 |
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 $138.04 Median $204.17 Typical High $275.42 | Facility | None | $138.04 | $204.17 | $275.42 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $89.13 | Facility | 26 · Professional part | $42.66 | $53.70 | $89.13 |
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 |
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 $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 |
Where Massachusetts sits
The same service costs 5.5 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· 30th of 51
$275
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.