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 $275.42 Median $1,288.25 Typical High $1,548.82 | Facility | None | $275.42 | $1,288.25 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $275.42 | $275.42 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $74.13 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $457.09 | Professional | TC · Technical part | $208.93 | $208.93 | $457.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $1,174.90 Typical High $1,445.44 | Facility | None | $239.88 | $1,174.90 | $1,445.44 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $338.84 Typical High $354.81 | Facility | 26 · Professional part | $77.62 | $338.84 | $354.81 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $1,023.29 Typical High $1,071.52 | Facility | TC · Technical part | $162.18 | $1,023.29 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $354.81 Median $912.01 Typical High $2,951.21 | Professional | None (both parts) | $354.81 | $912.01 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $239.88 Typical High $562.34 | Professional | 26 · Professional part | $91.20 | $239.88 | $562.34 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $691.83 Typical High $2,454.71 | Professional | TC · Technical part | $281.84 | $691.83 | $2,454.71 |
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 $407.38 Median $549.54 Typical High $645.65 | Professional | None (both parts) | $407.38 | $549.54 | $645.65 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $95.50 | $95.50 | $165.96 |
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 $436.52 Median $478.63 Typical High $1,071.52 | Professional | None (both parts) | $436.52 | $478.63 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $263.03 | Professional | 26 · Professional part | $97.72 | $117.49 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $354.81 Typical High $812.83 | Professional | TC · Technical part | $331.13 | $354.81 | $812.83 |
Fallon Health Setting Facility Modifier None Typical Low $109.65 Median $338.84 Typical High $524.81 | Facility | None | $109.65 | $338.84 | $524.81 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $114.82 | $354.81 | $537.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $389.05 Median $630.96 Typical High $1,023.29 | Professional | None (both parts) | $389.05 | $630.96 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $169.82 Typical High $269.15 | Professional | 26 · Professional part | $102.33 | $169.82 | $269.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $489.78 Typical High $776.25 | Professional | TC · Technical part | $281.84 | $489.78 | $776.25 |
Health New England Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,202.26 | Facility | None | $691.83 | $1,000.00 | $1,202.26 |
Health New England Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $125.89 | $138.04 | $181.97 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $1,174.90 Typical High $1,445.44 | Facility | None | $239.88 | $1,174.90 | $1,445.44 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $338.84 Typical High $354.81 | Facility | 26 · Professional part | $77.62 | $338.84 | $354.81 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $1,023.29 Typical High $1,071.52 | Facility | TC · Technical part | $162.18 | $1,023.29 | $1,071.52 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $354.81 Median $912.01 Typical High $2,951.21 | Professional | None (both parts) | $354.81 | $912.01 | $2,951.21 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $239.88 Typical High $562.34 | Professional | 26 · Professional part | $91.20 | $239.88 | $562.34 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $691.83 Typical High $2,454.71 | Professional | TC · Technical part | $281.84 | $691.83 | $2,454.71 |
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 $363.08 Median $501.19 Typical High $1,023.29 | Professional | None (both parts) | $363.08 | $501.19 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $257.04 | Professional | 26 · Professional part | $85.11 | $123.03 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $389.05 Typical High $776.25 | Professional | TC · Technical part | $275.42 | $389.05 | $776.25 |
Well Sense Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $416.87 | Facility | None | $208.93 | $309.03 | $416.87 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $134.90 | Facility | 26 · Professional part | $66.07 | $81.28 | $134.90 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $331.13 | Facility | TC · Technical part | $141.25 | $177.83 | $331.13 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None (both parts) | $416.87 | $416.87 | $501.19 |
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 $138.04 Median $138.04 Typical High $239.88 | Professional | 52 · Reduced service | $138.04 | $138.04 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $95.50 | Professional | 53 · Discontinued | $56.23 | $56.23 | $95.50 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $346.74 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $323.59 | Professional | FX · Film X-ray | $223.87 | $223.87 | $323.59 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $158.49 Median $281.84 Typical High $446.68 | Facility | 52 · Reduced service | $158.49 | $281.84 | $446.68 |
BCBS Massachusetts Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $831.76 Typical High $954.99 | Professional | 50 · Both sides | $676.08 | $831.76 | $954.99 |
Where Massachusetts sits
The same service costs 6.2 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· 17th of 51
$490
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.