How much rates vary
Facilitymedian $240 · 10th to 90th $110 to $794Professionalmedian $263 · 10th to 90th $132 to $1,230
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 $154.88 Median $190.55 Typical High $1,288.25 | Facility | None | $154.88 | $190.55 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $154.88 | $186.21 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $72.44 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $91.20 | $112.20 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $165.96 Median $676.08 Typical High $794.33 | Facility | None | $165.96 | $676.08 | $794.33 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $309.03 Typical High $331.13 | Facility | 26 · Professional part | $72.44 | $309.03 | $331.13 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $446.68 Typical High $478.63 | Facility | TC · Technical part | $93.33 | $446.68 | $478.63 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $173.78 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $173.78 | $467.74 | $1,230.27 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $190.55 Typical High $524.81 | Professional | 26 · Professional part | $75.86 | $190.55 | $524.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $288.40 Typical High $1,318.26 | Professional | TC · Technical part | $100.00 | $288.40 | $1,318.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $1,023.29 | Facility | None | $354.81 | $660.69 | $1,023.29 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $229.09 | $275.42 | $575.44 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $89.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $1,288.25 Typical High $2,570.40 | Facility | None | $181.97 | $1,288.25 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $602.56 | Professional | None (both parts) | $245.47 | $263.03 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $245.47 | Professional | 26 · Professional part | $91.20 | $109.65 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $154.88 Typical High $354.81 | Professional | TC · Technical part | $144.54 | $154.88 | $354.81 |
Fallon Health Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $295.12 | Facility | None | $102.33 | $151.36 | $295.12 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $104.71 | $165.96 | $302.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $218.78 | $363.08 | $616.60 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $95.50 | $154.88 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $125.89 | $204.17 | $338.84 |
Health New England Setting Facility Modifier None Typical Low $281.84 Median $616.60 Typical High $2,454.71 | Facility | None | $281.84 | $616.60 | $2,454.71 |
Health New England Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $398.11 | Professional | None (both parts) | $117.49 | $134.90 | $398.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $165.96 Median $676.08 Typical High $794.33 | Facility | None | $165.96 | $676.08 | $794.33 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $309.03 Typical High $331.13 | Facility | 26 · Professional part | $72.44 | $309.03 | $331.13 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $446.68 Typical High $478.63 | Facility | TC · Technical part | $93.33 | $446.68 | $478.63 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $173.78 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $173.78 | $467.74 | $1,230.27 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $190.55 Typical High $524.81 | Professional | 26 · Professional part | $75.86 | $190.55 | $524.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $288.40 Typical High $1,318.26 | Professional | TC · Technical part | $100.00 | $288.40 | $1,318.26 |
Tufts Setting Facility Modifier None Typical Low $162.18 Median $316.23 Typical High $524.81 | Facility | None | $162.18 | $316.23 | $524.81 |
Tufts Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $151.36 | $218.78 | $398.11 |
United Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $933.25 | Facility | None | $331.13 | $630.96 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $204.17 | $275.42 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $234.42 | Professional | 26 · Professional part | $81.28 | $114.82 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $331.13 | Professional | TC · Technical part | $117.49 | $162.18 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $147.91 Median $199.53 Typical High $288.40 | Facility | None | $147.91 | $199.53 | $288.40 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $125.89 | Facility | 26 · Professional part | $61.66 | $74.13 | $125.89 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $177.83 | Facility | TC · Technical part | $85.11 | $107.15 | $177.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $181.97 | $181.97 | $218.78 |
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 CT · Older CT scanner Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | CT · Older CT scanner | $131.83 | $131.83 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | FX · Film X-ray | $125.89 | $125.89 | $151.36 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $181.97 Median $316.23 Typical High $501.19 | Facility | 52 · Reduced service | $181.97 | $316.23 | $501.19 |
BCBS Massachusetts Setting Facility Modifier CT · Older CT scanner Typical Low $309.03 Median $537.03 Typical High $851.14 | Facility | CT · Older CT scanner | $309.03 | $537.03 | $851.14 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $58.88 Typical High $100.00 | Professional | 52 · Reduced service | $44.67 | $58.88 | $100.00 |
Where Massachusetts sits
The same service costs 18.2 times more in Vermont 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· 26th of 51
$257
VT $1,995UT $110
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.