How much rates vary
Facilitymedian $631 · 10th to 90th $162 to $1,175Professionalmedian $200 · 10th to 90th $141 to $275
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 $162.18 Median $162.18 Typical High $204.17 | Facility | None | $162.18 | $162.18 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $66.07 | Facility | 26 · Professional part | $52.48 | $52.48 | $66.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $112.20 Typical High $346.74 | Facility | TC · Technical part | $109.65 | $112.20 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $147.91 | $162.18 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $42.66 | $52.48 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $112.20 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None (both parts) | $95.50 | $95.50 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $52.48 | $60.26 |
BCBS Michigan Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $371.54 | Facility | None | $147.91 | $218.78 | $371.54 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $213.80 | Professional | None (both parts) | $138.04 | $199.53 | $213.80 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $38.02 | $87.10 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $128.82 | $223.87 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $30.20 | $58.88 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $147.91 Typical High $316.23 | Professional | TC · Technical part | $89.13 | $147.91 | $316.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $186.21 Median $776.25 Typical High $1,230.27 | Facility | None | $186.21 | $776.25 | $1,230.27 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $128.82 | Facility | 26 · Professional part | $52.48 | $52.48 | $128.82 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $239.88 Typical High $1,905.46 | Facility | TC · Technical part | $109.65 | $239.88 | $1,905.46 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $147.91 | $194.98 | $275.42 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $52.48 | $100.00 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $104.71 | $151.36 | $213.80 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $125.89 | $208.93 | $416.87 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $34.67 | $56.23 | $100.00 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $138.04 Typical High $302.00 | Professional | TC · Technical part | $85.11 | $138.04 | $302.00 |
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 $141.25 Median $234.42 Typical High $288.40 | Professional | None (both parts) | $141.25 | $234.42 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $53.70 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $97.72 | $169.82 | $229.09 |
7 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 $81.28 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $81.28 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $32.36 | $33.11 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $109.65 Median $131.83 Typical High $234.42 | Professional | CT · Older CT scanner | $109.65 | $131.83 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $123.03 Typical High $218.78 | Professional | FX · Film X-ray | $102.33 | $123.03 | $218.78 |
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $331.13 Median $741.31 Typical High $741.31 | Facility | ME · Imaging: follows guidelines | $331.13 | $741.31 | $741.31 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Where Michigan sits
The same service costs 4.9 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.
Michigan· 30th of 51
$200
AK $513UT $105
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.