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 $208.93 Median $1,288.25 Typical High $1,380.38 | Facility | None | $208.93 | $1,288.25 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $602.56 | Professional | None (both parts) | $208.93 | $208.93 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $134.90 | Professional | 26 · Professional part | $44.67 | $44.67 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $416.87 | Professional | TC · Technical part | $162.18 | $162.18 | $416.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $213.80 Median $912.01 Typical High $1,122.02 | Facility | None | $213.80 | $912.01 | $1,122.02 |
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 $162.18 Median $851.14 Typical High $891.25 | Facility | TC · Technical part | $162.18 | $851.14 | $891.25 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $275.42 Median $724.44 Typical High $2,290.87 | Professional | None (both parts) | $275.42 | $724.44 | $2,290.87 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $154.88 Typical High $457.09 | Professional | 26 · Professional part | $58.88 | $154.88 | $457.09 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $616.60 Typical High $1,949.84 | Professional | TC · Technical part | $234.42 | $616.60 | $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 $380.19 Median $478.63 Typical High $954.99 | Professional | None (both parts) | $380.19 | $478.63 | $954.99 |
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 $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 $331.13 Median $371.54 Typical High $851.14 | Professional | None (both parts) | $331.13 | $371.54 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $75.86 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $295.12 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $295.12 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $72.44 Median $275.42 Typical High $416.87 | Facility | None | $72.44 | $275.42 | $416.87 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $74.13 | $288.40 | $416.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $302.00 Median $501.19 Typical High $794.33 | Professional | None (both parts) | $302.00 | $501.19 | $794.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $66.07 | $109.65 | $177.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $407.38 Typical High $645.65 | Professional | TC · Technical part | $234.42 | $407.38 | $645.65 |
Health New England Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $891.25 | Facility | None | $512.86 | $512.86 | $891.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $81.28 Median $83.18 Typical High $93.33 | Professional | None (both parts) | $81.28 | $83.18 | $93.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $213.80 Median $912.01 Typical High $1,122.02 | Facility | None | $213.80 | $912.01 | $1,122.02 |
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 $162.18 Median $851.14 Typical High $891.25 | Facility | TC · Technical part | $162.18 | $851.14 | $891.25 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $275.42 Median $724.44 Typical High $2,290.87 | Professional | None (both parts) | $275.42 | $724.44 | $2,290.87 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $154.88 Typical High $457.09 | Professional | 26 · Professional part | $58.88 | $154.88 | $457.09 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $616.60 Typical High $1,949.84 | Professional | TC · Technical part | $234.42 | $616.60 | $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 $281.84 Median $389.05 Typical High $794.33 | Professional | None (both parts) | $281.84 | $389.05 | $794.33 |
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 $223.87 Median $316.23 Typical High $630.96 | Professional | TC · Technical part | $223.87 | $316.23 | $630.96 |
Well Sense Setting Facility Modifier None Typical Low $186.21 Median $269.15 Typical High $363.08 | Facility | None | $186.21 | $269.15 | $363.08 |
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 $141.25 Median $177.83 Typical High $295.12 | Facility | TC · Technical part | $141.25 | $177.83 | $295.12 |
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 $102.33 Median $102.33 Typical High $194.98 | Professional | 52 · Reduced service | $102.33 | $102.33 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $77.62 | Professional | 53 · Discontinued | $41.69 | $41.69 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $173.78 Median $173.78 Typical High $302.00 | Professional | CT · Older CT scanner | $173.78 | $173.78 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $288.40 | Professional | FX · Film X-ray | $165.96 | $165.96 | $288.40 |
Where Massachusetts sits
The same service costs 5.0 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· 22nd of 51
$389
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.