How much rates vary
Facilitymedian $562 · 10th to 90th $135 to $1,175Professionalmedian $155 · 10th to 90th $105 to $224
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 $134.90 Median $134.90 Typical High $144.54 | Facility | None | $134.90 | $134.90 | $144.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $53.70 | Facility | 26 · Professional part | $51.29 | $52.48 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $263.03 | Facility | TC · Technical part | $83.18 | $85.11 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $120.23 | $138.04 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $51.29 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $85.11 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $58.88 | $79.43 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $38.90 | $52.48 | $60.26 |
BCBS Michigan Setting Facility Modifier None Typical Low $112.20 Median $165.96 Typical High $281.84 | Facility | None | $112.20 | $165.96 | $281.84 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $60.26 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $60.26 | $165.96 | $177.83 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $67.61 Typical High $134.90 | Professional | None (both parts) | $38.02 | $67.61 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $100.00 | $190.55 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $51.29 Typical High $100.00 | Professional | 26 · Professional part | $30.20 | $51.29 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $64.57 | $117.49 | $239.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $138.04 Median $645.65 Typical High $1,230.27 | Facility | None | $138.04 | $645.65 | $1,230.27 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $95.50 | Facility | 26 · Professional part | $51.29 | $52.48 | $95.50 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $199.53 Typical High $331.13 | Facility | TC · Technical part | $83.18 | $199.53 | $331.13 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $120.23 | $144.54 | $223.87 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $123.03 | Professional | 26 · Professional part | $33.11 | $46.77 | $123.03 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $112.20 | $162.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $169.82 Typical High $354.81 | Professional | None (both parts) | $95.50 | $169.82 | $354.81 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $30.20 | $47.86 | $83.18 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $229.09 | Professional | TC · Technical part | $64.57 | $104.71 | $229.09 |
United Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $295.12 | Facility | None | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $117.49 | $173.78 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $44.67 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $112.20 | $186.21 |
12 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 $67.61 Median $69.18 Typical High $70.79 | Professional | 52 · Reduced service | $67.61 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $28.18 | Professional | 53 · Discontinued | $26.92 | $27.54 | $28.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $91.20 Median $107.15 Typical High $234.42 | Professional | CT · Older CT scanner | $91.20 | $107.15 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $100.00 Typical High $218.78 | Professional | FX · Film X-ray | $85.11 | $100.00 | $218.78 |
Health Alliance Plan Setting Facility Modifier 59 · Distinct service Typical Low $426.58 Median $851.14 Typical High $977.24 | Facility | 59 · Distinct service | $426.58 | $851.14 | $977.24 |
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $302.00 Median $660.69 Typical High $851.14 | Facility | ME · Imaging: follows guidelines | $302.00 | $660.69 | $851.14 |
Health Alliance Plan Setting Facility Modifier MG · Imaging: no guideline applies Typical Low $102.33 Median $660.69 Typical High $891.25 | Facility | MG · Imaging: no guideline applies | $102.33 | $660.69 | $891.25 |
Health Alliance Plan Setting Facility Modifier XU · Unusual separate service Typical Low $645.65 Median $851.14 Typical High $1,230.27 | Facility | XU · Unusual separate service | $645.65 | $851.14 | $1,230.27 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $36.31 Median $123.03 Typical High $602.56 | Professional | 59 · Distinct service | $36.31 | $123.03 | $602.56 |
Health Alliance Plan Setting Professional Modifier 77 · Repeat, other provider Typical Low $38.90 Median $44.67 Typical High $83.18 | Professional | 77 · Repeat, other provider | $38.90 | $44.67 | $83.18 |
Where Michigan sits
The same service costs 20.4 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.
Michigan· 30th of 51
$166
VT $1,585UT $77.62
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.