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 $281.84 Median $281.84 Typical High $295.12 | Facility | None | $281.84 | $281.84 | $295.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $588.84 | Facility | TC · Technical part | $177.83 | $251.19 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $251.19 | $281.84 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $97.72 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $186.21 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $186.21 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | 26 · Professional part | $75.86 | $75.86 | $87.10 |
BCBS Michigan Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $616.60 | Facility | None | $239.88 | $363.08 | $616.60 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $114.82 Median $338.84 Typical High $363.08 | Professional | None (both parts) | $114.82 | $338.84 | $363.08 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $229.09 | $371.54 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $186.21 | Professional | 26 · Professional part | $56.23 | $89.13 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $512.86 | Professional | TC · Technical part | $144.54 | $251.19 | $512.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $281.84 Median $954.99 Typical High $1,819.70 | Facility | None | $281.84 | $954.99 | $1,819.70 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $380.19 Typical High $645.65 | Facility | TC · Technical part | $186.21 | $380.19 | $645.65 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $251.19 | $281.84 | $407.38 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $77.62 | $100.00 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $309.03 | Professional | TC · Technical part | $173.78 | $218.78 | $309.03 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $218.78 | $346.74 | $630.96 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $85.11 | $141.25 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $478.63 | Professional | TC · Technical part | $144.54 | $213.80 | $478.63 |
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 $251.19 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $251.19 | $338.84 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $77.62 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $245.47 | $338.84 |
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 $138.04 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $138.04 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $54.95 | $56.23 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $229.09 Typical High $295.12 | Professional | CT · Older CT scanner | $158.49 | $229.09 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $213.80 Typical High $281.84 | Professional | FX · Film X-ray | $147.91 | $213.80 | $281.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Where Michigan sits
The same service costs 6.3 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· 28th of 51
$324
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.