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 $309.03 Median $309.03 Typical High $1,288.25 | Facility | None | $309.03 | $309.03 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $758.58 | Professional | None (both parts) | $309.03 | $380.19 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $89.13 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $575.44 | Professional | TC · Technical part | $223.87 | $281.84 | $575.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $338.84 Median $1,380.38 Typical High $1,698.24 | Facility | None | $338.84 | $1,380.38 | $1,698.24 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $398.11 Typical High $416.87 | Facility | 26 · Professional part | $91.20 | $398.11 | $416.87 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $1,202.26 Typical High $1,288.25 | Facility | TC · Technical part | $251.19 | $1,202.26 | $1,288.25 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,000.00 Typical High $2,570.40 | Professional | None (both parts) | $436.52 | $1,000.00 | $2,570.40 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $239.88 Typical High $660.69 | Professional | 26 · Professional part | $104.71 | $239.88 | $660.69 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $776.25 Typical High $2,089.30 | Professional | TC · Technical part | $331.13 | $776.25 | $2,089.30 |
BCBS Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $1,698.24 | Facility | None | $602.56 | $1,096.48 | $1,698.24 |
BCBS Setting Professional Modifier None (both parts) Typical Low $616.60 Median $741.31 Typical High $1,548.82 | Professional | None (both parts) | $616.60 | $741.31 | $1,548.82 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $112.20 | $112.20 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $2,041.74 Typical High $3,981.07 | Facility | None | $302.00 | $2,041.74 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $562.34 Typical High $1,288.25 | Professional | None (both parts) | $512.86 | $562.34 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $309.03 | Professional | 26 · Professional part | $112.20 | $138.04 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $416.87 Typical High $977.24 | Professional | TC · Technical part | $389.05 | $416.87 | $977.24 |
Fallon Health Setting Facility Modifier None Typical Low $128.82 Median $398.11 Typical High $616.60 | Facility | None | $128.82 | $398.11 | $616.60 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $426.58 Typical High $630.96 | Professional | None (both parts) | $131.83 | $426.58 | $630.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $457.09 Median $776.25 Typical High $1,230.27 | Professional | None (both parts) | $457.09 | $776.25 | $1,230.27 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $186.21 Typical High $331.13 | Professional | 26 · Professional part | $120.23 | $186.21 | $331.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $575.44 Typical High $912.01 | Professional | TC · Technical part | $338.84 | $575.44 | $912.01 |
Health New England Setting Facility Modifier None Typical Low $707.95 Median $1,621.81 Typical High $3,019.95 | Facility | None | $707.95 | $1,621.81 | $3,019.95 |
Health New England Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $645.65 | Professional | None (both parts) | $151.36 | $177.83 | $645.65 |
Mass General Brigham Setting Facility Modifier None Typical Low $338.84 Median $1,380.38 Typical High $1,698.24 | Facility | None | $338.84 | $1,380.38 | $1,698.24 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $398.11 Typical High $416.87 | Facility | 26 · Professional part | $91.20 | $398.11 | $416.87 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $1,202.26 Typical High $1,288.25 | Facility | TC · Technical part | $251.19 | $1,202.26 | $1,288.25 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,000.00 Typical High $2,570.40 | Professional | None (both parts) | $436.52 | $1,000.00 | $2,570.40 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $239.88 Typical High $660.69 | Professional | 26 · Professional part | $104.71 | $239.88 | $660.69 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $776.25 Typical High $2,089.30 | Professional | TC · Technical part | $331.13 | $776.25 | $2,089.30 |
Tufts Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $812.83 | Facility | None | $363.08 | $501.19 | $812.83 |
Tufts Setting Professional Modifier None (both parts) Typical Low $288.40 Median $489.78 Typical High $831.76 | Professional | None (both parts) | $288.40 | $489.78 | $831.76 |
United Setting Facility Modifier None Typical Low $489.78 Median $933.25 Typical High $1,380.38 | Facility | None | $489.78 | $933.25 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $575.44 Typical High $1,174.90 | Professional | None (both parts) | $416.87 | $575.44 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $295.12 | Professional | 26 · Professional part | $102.33 | $144.54 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $436.52 Typical High $870.96 | Professional | TC · Technical part | $309.03 | $436.52 | $870.96 |
Well Sense Setting Facility Modifier None Typical Low $309.03 Median $426.58 Typical High $645.65 | Facility | None | $309.03 | $426.58 | $645.65 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $158.49 | Facility | 26 · Professional part | $77.62 | $95.50 | $158.49 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $478.63 | Facility | TC · Technical part | $234.42 | $295.12 | $478.63 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $446.68 | $446.68 | $537.03 |
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 CT · Older CT scanner Typical Low $263.03 Median $263.03 Typical High $338.84 | Professional | CT · Older CT scanner | $263.03 | $263.03 | $338.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | FX · Film X-ray | $245.47 | $245.47 | $323.59 |
BCBS Setting Facility Modifier 52 · Reduced service Typical Low $309.03 Median $537.03 Typical High $851.14 | Facility | 52 · Reduced service | $309.03 | $537.03 | $851.14 |
BCBS Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $309.03 Typical High $724.44 | Professional | 52 · Reduced service | $56.23 | $309.03 | $724.44 |
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· 23rd of 51
$562
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.