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 $245.47 Median $323.59 Typical High $1,288.25 | Facility | None | $245.47 | $323.59 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $245.47 | $309.03 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $75.86 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $75.86 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $426.58 | Professional | TC · Technical part | $177.83 | $218.78 | $426.58 |
AllWays Health Partners Setting Facility Modifier None Typical Low $269.15 Median $1,096.48 Typical High $1,348.96 | Facility | None | $269.15 | $1,096.48 | $1,348.96 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $331.13 Typical High $346.74 | Facility | 26 · Professional part | $75.86 | $331.13 | $346.74 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $933.25 Typical High $1,000.00 | Facility | TC · Technical part | $194.98 | $933.25 | $1,000.00 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $288.40 Median $758.58 Typical High $2,089.30 | Professional | None (both parts) | $288.40 | $758.58 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $199.53 Typical High $549.54 | Professional | 26 · Professional part | $79.43 | $199.53 | $549.54 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $588.84 Typical High $2,630.27 | Professional | TC · Technical part | $218.78 | $588.84 | $2,630.27 |
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 $436.52 Median $537.03 Typical High $1,230.27 | Professional | None (both parts) | $436.52 | $537.03 | $1,230.27 |
BCBS 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 $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 $398.11 Median $446.68 Typical High $1,023.29 | Professional | None (both parts) | $398.11 | $446.68 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $257.04 | Professional | 26 · Professional part | $93.33 | $114.82 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $331.13 Typical High $758.58 | Professional | TC · Technical part | $302.00 | $331.13 | $758.58 |
Fallon Health Setting Facility Modifier None Typical Low $107.15 Median $309.03 Typical High $489.78 | Facility | None | $107.15 | $309.03 | $489.78 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $331.13 Typical High $501.19 | Professional | None (both parts) | $109.65 | $331.13 | $501.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $363.08 Median $588.84 Typical High $1,000.00 | Professional | None (both parts) | $363.08 | $588.84 | $1,000.00 |
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 $263.03 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $263.03 | $426.58 | $707.95 |
Health New England Setting Facility Modifier None Typical Low $537.03 Median $1,122.02 Typical High $3,548.13 | Facility | None | $537.03 | $1,122.02 | $3,548.13 |
Health New England Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $707.95 | Professional | None (both parts) | $123.03 | $208.93 | $707.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $269.15 Median $1,096.48 Typical High $1,348.96 | Facility | None | $269.15 | $1,096.48 | $1,348.96 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $331.13 Typical High $346.74 | Facility | 26 · Professional part | $75.86 | $331.13 | $346.74 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $933.25 Typical High $1,000.00 | Facility | TC · Technical part | $194.98 | $933.25 | $1,000.00 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $288.40 Median $758.58 Typical High $2,089.30 | Professional | None (both parts) | $288.40 | $758.58 | $2,089.30 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $199.53 Typical High $549.54 | Professional | 26 · Professional part | $79.43 | $199.53 | $549.54 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $588.84 Typical High $2,630.27 | Professional | TC · Technical part | $218.78 | $588.84 | $2,630.27 |
Tufts Setting Facility Modifier None Typical Low $251.19 Median $436.52 Typical High $977.24 | Facility | None | $251.19 | $436.52 | $977.24 |
Tufts Setting Professional Modifier None (both parts) Typical Low $154.88 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $154.88 | $309.03 | $562.34 |
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 $331.13 Median $457.09 Typical High $954.99 | Professional | None (both parts) | $331.13 | $457.09 | $954.99 |
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 $338.84 Typical High $707.95 | Professional | TC · Technical part | $245.47 | $338.84 | $707.95 |
Well Sense Setting Facility Modifier None Typical Low $251.19 Median $346.74 Typical High $489.78 | Facility | None | $251.19 | $346.74 | $489.78 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $131.83 | Facility | 26 · Professional part | $64.57 | $79.43 | $131.83 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $380.19 | Facility | TC · Technical part | $186.21 | $229.09 | $380.19 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $288.40 | $288.40 | $346.74 |
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 $208.93 Median $208.93 Typical High $257.04 | Professional | CT · Older CT scanner | $208.93 | $208.93 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | FX · Film X-ray | $194.98 | $194.98 | $245.47 |
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 Facility Modifier CT · Older CT scanner Typical Low $524.81 Median $912.01 Typical High $1,445.44 | Facility | CT · Older CT scanner | $524.81 | $912.01 | $1,445.44 |
BCBS Setting Professional Modifier CT · Older CT scanner Typical Low $79.43 Median $104.71 Typical High $177.83 | Professional | CT · Older CT scanner | $79.43 | $104.71 | $177.83 |
Where Massachusetts sits
The same service costs 15.8 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· 20th of 51
$427
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.