How much rates vary
Facilitymedian $316 · 10th to 90th $209 to $871Professionalmedian $282 · 10th to 90th $195 to $407
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 $234.42 Median $239.88 Typical High $245.47 | Facility | None | $234.42 | $239.88 | $245.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $501.19 | Facility | TC · Technical part | $154.88 | $239.88 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $234.42 | $234.42 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $75.86 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $363.08 | Professional | TC · Technical part | $154.88 | $158.49 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $537.03 | Facility | None | $208.93 | $309.03 | $537.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $91.20 Median $281.84 Typical High $302.00 | Professional | None (both parts) | $91.20 | $281.84 | $302.00 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $190.55 | $323.59 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $45.71 | $79.43 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $467.74 | Professional | TC · Technical part | $125.89 | $213.80 | $467.74 |
Health Alliance Plan Setting Facility Modifier None Typical Low $239.88 Median $776.25 Typical High $1,584.89 | Facility | None | $239.88 | $776.25 | $1,584.89 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $398.11 Typical High $676.08 | Facility | TC · Technical part | $162.18 | $398.11 | $676.08 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $234.42 | $288.40 | $407.38 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $72.44 | $91.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $323.59 | Professional | TC · Technical part | $158.49 | $229.09 | $323.59 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $302.00 Typical High $616.60 | Professional | None (both parts) | $186.21 | $302.00 | $616.60 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $45.71 | $75.86 | $138.04 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $199.53 Typical High $436.52 | Professional | TC · Technical part | $123.03 | $199.53 | $436.52 |
United Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $489.78 | Facility | None | $181.97 | $234.42 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $208.93 | $338.84 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $63.10 | $72.44 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $257.04 Typical High $346.74 | Professional | TC · Technical part | $141.25 | $257.04 | $346.74 |
6 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 $114.82 Median $117.49 Typical High $120.23 | Professional | 52 · Reduced service | $114.82 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | 53 · Discontinued | $46.77 | $46.77 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $177.83 Typical High $302.00 | Professional | CT · Older CT scanner | $144.54 | $177.83 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $169.82 Typical High $288.40 | Professional | FX · Film X-ray | $138.04 | $169.82 | $288.40 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $117.49 | $117.49 | $117.49 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $46.77 | $46.77 | $46.77 |
Where Michigan 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.
Michigan· 31st of 51
$282
AK $676UT $132
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.