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 $218.78 Median $1,288.25 Typical High $1,412.54 | Facility | None | $218.78 | $1,288.25 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $436.52 | Professional | None (both parts) | $218.78 | $218.78 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $44.67 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $371.54 | Professional | TC · Technical part | $173.78 | $173.78 | $371.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $173.78 Median $707.95 Typical High $870.96 | Facility | None | $173.78 | $707.95 | $870.96 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $218.78 Typical High $229.09 | Facility | 26 · Professional part | $50.12 | $218.78 | $229.09 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $602.56 Typical High $630.96 | Facility | TC · Technical part | $125.89 | $602.56 | $630.96 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $223.87 Median $575.44 Typical High $2,187.76 | Professional | None (both parts) | $223.87 | $575.44 | $2,187.76 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $154.88 Typical High $398.11 | Professional | 26 · Professional part | $58.88 | $154.88 | $398.11 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $446.68 Typical High $1,862.09 | Professional | TC · Technical part | $165.96 | $446.68 | $1,862.09 |
BCBS Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $891.25 | Facility | None | $309.03 | $575.44 | $891.25 |
BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $489.78 Typical High $562.34 | Professional | None (both parts) | $316.23 | $489.78 | $562.34 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $61.66 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $977.24 Typical High $2,398.83 | Facility | None | $223.87 | $977.24 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $645.65 | Professional | None (both parts) | $263.03 | $288.40 | $645.65 |
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 $194.98 Median $208.93 Typical High $478.63 | Professional | TC · Technical part | $194.98 | $208.93 | $478.63 |
Fallon Health Setting Facility Modifier None Typical Low $70.79 Median $199.53 Typical High $323.59 | Facility | None | $70.79 | $199.53 | $323.59 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $74.13 | $213.80 | $323.59 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $169.82 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $169.82 | $338.84 | $645.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $66.07 | $100.00 | $181.97 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $295.12 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $295.12 | $524.81 |
Health New England Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $173.78 Median $707.95 Typical High $870.96 | Facility | None | $173.78 | $707.95 | $870.96 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $218.78 Typical High $229.09 | Facility | 26 · Professional part | $50.12 | $218.78 | $229.09 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $602.56 Typical High $630.96 | Facility | TC · Technical part | $125.89 | $602.56 | $630.96 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $223.87 Median $575.44 Typical High $2,187.76 | Professional | None (both parts) | $223.87 | $575.44 | $2,187.76 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $154.88 Typical High $398.11 | Professional | 26 · Professional part | $58.88 | $154.88 | $398.11 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $446.68 Typical High $1,862.09 | Professional | TC · Technical part | $165.96 | $446.68 | $1,862.09 |
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 $239.88 Median $331.13 Typical High $676.08 | Professional | None (both parts) | $239.88 | $331.13 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $79.43 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $562.34 | Professional | TC · Technical part | $177.83 | $251.19 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $316.23 | Facility | None | $158.49 | $234.42 | $316.23 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $87.10 | Facility | 26 · Professional part | $42.66 | $52.48 | $87.10 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $263.03 | Facility | TC · Technical part | $117.49 | $144.54 | $263.03 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $309.03 | $309.03 | $371.54 |
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 $109.65 Median $109.65 Typical High $208.93 | Professional | 52 · Reduced service | $109.65 | $109.65 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $83.18 | Professional | 53 · Discontinued | $43.65 | $43.65 | $83.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $186.21 Typical High $309.03 | Professional | CT · Older CT scanner | $186.21 | $186.21 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | FX · Film X-ray | $173.78 | $173.78 | $295.12 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $549.54 Median $741.31 Typical High $776.25 | Professional | 50 · Both sides | $549.54 | $741.31 | $776.25 |
Where Massachusetts sits
The same service costs 5.1 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· 27th of 51
$324
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.