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 $263.03 Median $660.69 Typical High $1,288.25 | Facility | None | $263.03 | $660.69 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $588.84 | Professional | None (both parts) | $263.03 | $263.03 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $87.10 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $398.11 | Professional | TC · Technical part | $173.78 | $173.78 | $398.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $1,122.02 Typical High $1,445.44 | Facility | None | $194.98 | $1,122.02 | $1,445.44 |
AllWays Health Partners Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $436.52 Typical High $457.09 | Facility | 26 · Professional part | $100.00 | $436.52 | $457.09 |
AllWays Health Partners Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $933.25 Typical High $977.24 | Facility | TC · Technical part | $616.60 | $933.25 | $977.24 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $371.54 Median $870.96 Typical High $2,089.30 | Professional | None (both parts) | $371.54 | $870.96 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $263.03 Typical High $707.95 | Professional | 26 · Professional part | $104.71 | $263.03 | $707.95 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $630.96 Typical High $1,778.28 | Professional | TC · Technical part | $257.04 | $630.96 | $1,778.28 |
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 $295.12 Median $426.58 Typical High $954.99 | Professional | None (both parts) | $295.12 | $426.58 | $954.99 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $213.80 | Professional | 26 · Professional part | $123.03 | $123.03 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $977.24 Typical High $2,238.72 | Facility | None | $302.00 | $977.24 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $1,071.52 | Professional | None (both parts) | $436.52 | $467.74 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $151.36 Typical High $331.13 | Professional | 26 · Professional part | $123.03 | $151.36 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $741.31 | Professional | TC · Technical part | $295.12 | $323.59 | $741.31 |
Fallon Health Setting Facility Modifier None Typical Low $141.25 Median $309.03 Typical High $524.81 | Facility | None | $141.25 | $309.03 | $524.81 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $147.91 | $338.84 | $537.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $389.05 Median $691.83 Typical High $1,071.52 | Professional | None (both parts) | $389.05 | $691.83 | $1,071.52 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $213.80 Typical High $363.08 | Professional | 26 · Professional part | $125.89 | $213.80 | $363.08 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $467.74 Typical High $724.44 | Professional | TC · Technical part | $257.04 | $467.74 | $724.44 |
Health New England Setting Facility Modifier None Typical Low $446.68 Median $1,023.29 Typical High $1,995.26 | Facility | None | $446.68 | $1,023.29 | $1,995.26 |
Health New England Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $158.49 | $165.96 | $208.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $1,122.02 Typical High $1,445.44 | Facility | None | $194.98 | $1,122.02 | $1,445.44 |
Mass General Brigham Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $436.52 Typical High $457.09 | Facility | 26 · Professional part | $100.00 | $436.52 | $457.09 |
Mass General Brigham Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $933.25 Typical High $977.24 | Facility | TC · Technical part | $616.60 | $933.25 | $977.24 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $371.54 Median $870.96 Typical High $2,089.30 | Professional | None (both parts) | $371.54 | $870.96 | $2,089.30 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $263.03 Typical High $707.95 | Professional | 26 · Professional part | $104.71 | $263.03 | $707.95 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $630.96 Typical High $1,778.28 | Professional | TC · Technical part | $257.04 | $630.96 | $1,778.28 |
Tufts Setting Facility Modifier None Typical Low $112.20 Median $457.09 Typical High $676.08 | Facility | None | $112.20 | $457.09 | $676.08 |
Tufts Setting Professional Modifier None (both parts) Typical Low $281.84 Median $446.68 Typical High $467.74 | Professional | None (both parts) | $281.84 | $446.68 | $467.74 |
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 $363.08 Median $524.81 Typical High $1,096.48 | Professional | None (both parts) | $363.08 | $524.81 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $154.88 Typical High $323.59 | Professional | 26 · Professional part | $107.15 | $154.88 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $794.33 | Professional | TC · Technical part | $251.19 | $363.08 | $794.33 |
Well Sense Setting Facility Modifier None Typical Low $223.87 Median $331.13 Typical High $478.63 | Facility | None | $223.87 | $331.13 | $478.63 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $173.78 | Facility | 26 · Professional part | $83.18 | $104.71 | $173.78 |
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 $478.63 Median $478.63 Typical High $575.44 | Professional | None (both parts) | $478.63 | $478.63 | $575.44 |
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 $223.87 Median $223.87 Typical High $263.03 | Professional | CT · Older CT scanner | $223.87 | $223.87 | $263.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | FX · Film X-ray | $208.93 | $208.93 | $245.47 |
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 52 · Reduced service Typical Low $61.66 Median $87.10 Typical High $141.25 | Professional | 52 · Reduced service | $61.66 | $87.10 | $141.25 |
Where Massachusetts sits
The same service costs 5.1 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· 20th 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.