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 $177.83 Median $338.84 Typical High $1,288.25 | Facility | None | $177.83 | $338.84 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $446.68 | Professional | None (both parts) | $177.83 | $190.55 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $131.83 | Professional | 26 · Professional part | $42.66 | $52.48 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $309.03 | Professional | TC · Technical part | $134.90 | $138.04 | $309.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $147.91 Median $660.69 Typical High $741.31 | Facility | None | $147.91 | $660.69 | $741.31 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $208.93 Typical High $218.78 | Facility | 26 · Professional part | $47.86 | $208.93 | $218.78 |
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 $194.98 Median $467.74 Typical High $1,737.80 | Professional | None (both parts) | $194.98 | $467.74 | $1,737.80 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $147.91 Typical High $380.19 | Professional | 26 · Professional part | $56.23 | $147.91 | $380.19 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $338.84 Typical High $1,380.38 | Professional | TC · Technical part | $128.82 | $338.84 | $1,380.38 |
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 $371.54 Typical High $436.52 | Professional | None (both parts) | $263.03 | $371.54 | $436.52 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $58.88 | $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 $72.44 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $72.44 | $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 $67.61 Median $162.18 Typical High $275.42 | Facility | None | $67.61 | $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 $338.84 Typical High $549.54 | Professional | None (both parts) | $199.53 | $338.84 | $549.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $63.10 | $95.50 | $177.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $134.90 | $239.88 | $407.38 |
Health New England Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,348.96 | Facility | None | $398.11 | $645.65 | $1,348.96 |
Health New England Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $79.43 | $89.13 | $104.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $147.91 Median $660.69 Typical High $741.31 | Facility | None | $147.91 | $660.69 | $741.31 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $208.93 Typical High $218.78 | Facility | 26 · Professional part | $47.86 | $208.93 | $218.78 |
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 $194.98 Median $467.74 Typical High $1,737.80 | Professional | None (both parts) | $194.98 | $467.74 | $1,737.80 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $147.91 Typical High $380.19 | Professional | 26 · Professional part | $56.23 | $147.91 | $380.19 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $338.84 Typical High $1,380.38 | Professional | TC · Technical part | $128.82 | $338.84 | $1,380.38 |
Tufts Setting Professional Modifier None (both parts) Typical Low $190.55 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $190.55 | $309.03 | $426.58 |
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 $275.42 Typical High $562.34 | Professional | None (both parts) | $199.53 | $275.42 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $75.86 | $158.49 |
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 $50.12 Typical High $83.18 | Facility | 26 · Professional part | $40.74 | $50.12 | $83.18 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $194.98 | Facility | TC · Technical part | $95.50 | $117.49 | $194.98 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $239.88 | $239.88 | $288.40 |
5 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 $89.13 Median $89.13 Typical High $165.96 | Professional | 52 · Reduced service | $89.13 | $89.13 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $66.07 | Professional | 53 · Discontinued | $35.48 | $35.48 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $151.36 Median $151.36 Typical High $245.47 | Professional | CT · Older CT scanner | $151.36 | $151.36 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $229.09 | Professional | FX · Film X-ray | $144.54 | $144.54 | $229.09 |
BCBS Massachusetts Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $562.34 Typical High $630.96 | Professional | 50 · Both sides | $446.68 | $562.34 | $630.96 |
Where Massachusetts sits
The same service costs 5.4 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· 28th of 51
$269
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.