How much rates vary
Facilitymedian $955 · 10th to 90th $331 to $2,239Professionalmedian $389 · 10th to 90th $251 to $589
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 $331.13 Median $331.13 Typical High $426.58 | Facility | None | $331.13 | $331.13 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $107.15 Typical High $112.20 | Facility | 26 · Professional part | $104.71 | $107.15 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $660.69 | Facility | TC · Technical part | $223.87 | $234.42 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $316.23 | $338.84 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $128.82 | Professional | 26 · Professional part | $81.28 | $104.71 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $229.09 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $79.43 | $81.28 | $81.28 |
BCBS Michigan Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $812.83 | Facility | None | $323.59 | $478.63 | $812.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $123.03 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $123.03 | $302.00 | $457.09 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $77.62 | $194.98 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $275.42 | $436.52 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $204.17 | Professional | 26 · Professional part | $63.10 | $100.00 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $302.00 Typical High $707.95 | Professional | TC · Technical part | $190.55 | $302.00 | $707.95 |
Health Alliance Plan Setting Facility Modifier None Typical Low $426.58 Median $1,288.25 Typical High $2,290.87 | Facility | None | $426.58 | $1,288.25 | $2,290.87 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $107.15 Typical High $199.53 | Facility | 26 · Professional part | $104.71 | $107.15 | $199.53 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $398.11 Typical High $1,096.48 | Facility | TC · Technical part | $223.87 | $398.11 | $1,096.48 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $316.23 | $436.52 | $588.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $93.33 | $151.36 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $489.78 | Professional | TC · Technical part | $213.80 | $371.54 | $489.78 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $912.01 | Professional | None (both parts) | $263.03 | $389.05 | $912.01 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $91.20 | $169.82 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $181.97 | $281.84 | $660.69 |
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 $302.00 Median $512.86 Typical High $660.69 | Professional | None (both parts) | $302.00 | $512.86 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $91.20 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $407.38 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $407.38 | $562.34 |
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 $151.36 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $151.36 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $234.42 Typical High $323.59 | Professional | CT · Older CT scanner | $181.97 | $234.42 | $323.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $218.78 Typical High $302.00 | Professional | FX · Film X-ray | $169.82 | $218.78 | $302.00 |
Health Alliance Plan Setting Facility Modifier MA · Imaging: emergency Typical Low $588.84 Median $724.44 Typical High $1,174.90 | Facility | MA · Imaging: emergency | $588.84 | $724.44 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Where Michigan sits
The same service costs 7.6 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· 27th of 51
$407
VT $1,288UT $170
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.