How much rates vary
Facilitymedian $155 · 10th to 90th $65 to $550Professionalmedian $209 · 10th to 90th $76 to $1,445
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 $134.90 Median $234.42 Typical High $1,288.25 | Facility | None | $134.90 | $234.42 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $346.74 | Professional | None (both parts) | $134.90 | $158.49 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $114.82 | Professional | 26 · Professional part | $37.15 | $46.77 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $97.72 | $107.15 | $229.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $117.49 Median $467.74 Typical High $575.44 | Facility | None | $117.49 | $467.74 | $575.44 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $181.97 Typical High $190.55 | Facility | 26 · Professional part | $41.69 | $181.97 | $190.55 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $363.08 Typical High $389.05 | Facility | TC · Technical part | $75.86 | $363.08 | $389.05 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $151.36 Median $380.19 Typical High $1,445.44 | Professional | None (both parts) | $151.36 | $380.19 | $1,445.44 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $125.89 Typical High $316.23 | Professional | 26 · Professional part | $48.98 | $125.89 | $316.23 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $281.84 Typical High $1,318.26 | Professional | TC · Technical part | $109.65 | $281.84 | $1,318.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $173.78 Median $316.23 Typical High $501.19 | Facility | None | $173.78 | $316.23 | $501.19 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $204.17 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $204.17 | $295.12 | $346.74 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $51.29 | $51.29 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $575.44 Typical High $1,445.44 | Facility | None | $134.90 | $575.44 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $426.58 | Professional | None (both parts) | $173.78 | $190.55 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $51.29 | $63.10 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $125.89 | $288.40 |
Fallon Health Setting Facility Modifier None Typical Low $58.88 Median $125.89 Typical High $218.78 | Facility | None | $58.88 | $125.89 | $218.78 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $61.66 | $131.83 | $218.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $158.49 | $269.15 | $436.52 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $54.95 | $89.13 | $151.36 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $102.33 | $186.21 | $309.03 |
Health New England Setting Facility Modifier None Typical Low $323.59 Median $630.96 Typical High $1,230.27 | Facility | None | $323.59 | $630.96 | $1,230.27 |
Health New England Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $891.25 | Professional | None (both parts) | $66.07 | $85.11 | $891.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $117.49 Median $467.74 Typical High $575.44 | Facility | None | $117.49 | $467.74 | $575.44 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $181.97 Typical High $190.55 | Facility | 26 · Professional part | $41.69 | $181.97 | $190.55 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $363.08 Typical High $389.05 | Facility | TC · Technical part | $75.86 | $363.08 | $389.05 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $151.36 Median $380.19 Typical High $1,445.44 | Professional | None (both parts) | $151.36 | $380.19 | $1,445.44 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $125.89 Typical High $316.23 | Professional | 26 · Professional part | $48.98 | $125.89 | $316.23 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $281.84 Typical High $1,318.26 | Professional | TC · Technical part | $109.65 | $281.84 | $1,318.26 |
Tufts Setting Facility Modifier None Typical Low $77.62 Median $154.88 Typical High $407.38 | Facility | None | $77.62 | $154.88 | $407.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $83.18 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $83.18 | $199.53 | $269.15 |
United Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $407.38 | Facility | None | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $158.49 | $223.87 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $66.07 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $338.84 | Professional | TC · Technical part | $109.65 | $151.36 | $338.84 |
Well Sense Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $208.93 | Facility | None | $104.71 | $154.88 | $208.93 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $72.44 | Facility | 26 · Professional part | $34.67 | $43.65 | $72.44 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $158.49 | Facility | TC · Technical part | $69.18 | $87.10 | $158.49 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $199.53 | $199.53 | $239.88 |
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 $67.61 Median $67.61 Typical High $134.90 | Professional | 52 · Reduced service | $67.61 | $67.61 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $53.70 | Professional | 53 · Discontinued | $26.92 | $26.92 | $53.70 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $114.82 Median $114.82 Typical High $194.98 | Professional | CT · Older CT scanner | $114.82 | $114.82 | $194.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $186.21 | Professional | FX · Film X-ray | $107.15 | $107.15 | $186.21 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $89.13 Median $154.88 Typical High $245.47 | Facility | 52 · Reduced service | $89.13 | $154.88 | $245.47 |
BCBS Massachusetts Setting Professional Modifier 50 · Both sides Typical Low $323.59 Median $446.68 Typical High $467.74 | Professional | 50 · Both sides | $323.59 | $446.68 | $467.74 |
Where Massachusetts sits
The same service costs 5.8 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· 28th of 51
$209
VT $603UT $105
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.