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 $239.88 Median $616.60 Typical High $1,548.82 | Facility | None | $239.88 | $616.60 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $257.04 Typical High $691.83 | Professional | None (both parts) | $239.88 | $257.04 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $177.83 | Professional | 26 · Professional part | $67.61 | $77.62 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $186.21 Typical High $489.78 | Professional | TC · Technical part | $173.78 | $186.21 | $489.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $234.42 Median $1,096.48 Typical High $1,348.96 | Facility | None | $234.42 | $1,096.48 | $1,348.96 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $323.59 Typical High $346.74 | Facility | 26 · Professional part | $74.13 | $323.59 | $346.74 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $954.99 Typical High $1,023.29 | Facility | TC · Technical part | $162.18 | $954.99 | $1,023.29 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $331.13 Median $870.96 Typical High $3,162.28 | Professional | None (both parts) | $331.13 | $870.96 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $229.09 Typical High $691.83 | Professional | 26 · Professional part | $89.13 | $229.09 | $691.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $660.69 Typical High $2,691.53 | Professional | TC · Technical part | $263.03 | $660.69 | $2,691.53 |
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 $954.99 | Professional | None (both parts) | $407.38 | $549.54 | $954.99 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $93.33 | $93.33 | $158.49 |
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 $416.87 Median $446.68 Typical High $1,023.29 | Professional | None (both parts) | $416.87 | $446.68 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $251.19 | Professional | 26 · Professional part | $93.33 | $114.82 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $776.25 | Professional | TC · Technical part | $309.03 | $331.13 | $776.25 |
Fallon Health Setting Facility Modifier None Typical Low $107.15 Median $316.23 Typical High $489.78 | Facility | None | $107.15 | $316.23 | $489.78 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $109.65 | $338.84 | $512.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $371.54 Median $630.96 Typical High $954.99 | Professional | None (both parts) | $371.54 | $630.96 | $954.99 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $162.18 Typical High $263.03 | Professional | 26 · Professional part | $100.00 | $162.18 | $263.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $467.74 Typical High $724.44 | Professional | TC · Technical part | $269.15 | $467.74 | $724.44 |
Health New England Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $1,621.81 | Facility | None | $501.19 | $954.99 | $1,621.81 |
Health New England Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $707.95 | Professional | None (both parts) | $123.03 | $138.04 | $707.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $234.42 Median $1,096.48 Typical High $1,348.96 | Facility | None | $234.42 | $1,096.48 | $1,348.96 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $323.59 Typical High $346.74 | Facility | 26 · Professional part | $74.13 | $323.59 | $346.74 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $954.99 Typical High $1,023.29 | Facility | TC · Technical part | $162.18 | $954.99 | $1,023.29 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $331.13 Median $870.96 Typical High $3,162.28 | Professional | None (both parts) | $331.13 | $870.96 | $3,162.28 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $229.09 Typical High $691.83 | Professional | 26 · Professional part | $89.13 | $229.09 | $691.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $660.69 Typical High $2,691.53 | Professional | TC · Technical part | $263.03 | $660.69 | $2,691.53 |
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 $331.13 Median $467.74 Typical High $933.25 | Professional | None (both parts) | $331.13 | $467.74 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $245.47 | Professional | 26 · Professional part | $85.11 | $120.23 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $346.74 Typical High $724.44 | Professional | TC · Technical part | $245.47 | $346.74 | $724.44 |
Well Sense Setting Facility Modifier None Typical Low $204.17 Median $302.00 Typical High $416.87 | Facility | None | $204.17 | $302.00 | $416.87 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $131.83 | Facility | 26 · Professional part | $63.10 | $79.43 | $131.83 |
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 |
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 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $229.09 | Professional | 52 · Reduced service | $120.23 | $120.23 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $93.33 | Professional | 53 · Discontinued | $47.86 | $47.86 | $93.33 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $204.17 Typical High $346.74 | Professional | CT · Older CT scanner | $204.17 | $204.17 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $323.59 | Professional | FX · Film X-ray | $194.98 | $194.98 | $323.59 |
Where Massachusetts sits
The same service costs 6.0 times more in Alaska than in Texas. 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· 21st of 51
$457
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.