How much rates vary
Facilitymedian $631 · 10th to 90th $138 to $1,288Professionalmedian $195 · 10th to 90th $129 to $282
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 $169.82 Median $169.82 Typical High $177.83 | Facility | None | $169.82 | $169.82 | $177.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $69.18 | Facility | 26 · Professional part | $64.57 | $66.07 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $323.59 | Facility | TC · Technical part | $102.33 | $104.71 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $151.36 | $169.82 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $66.07 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $104.71 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $104.71 | $104.71 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $58.88 | $75.86 |
BCBS Michigan Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $354.81 | Facility | None | $138.04 | $204.17 | $354.81 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $75.86 Median $204.17 Typical High $218.78 | Professional | None (both parts) | $75.86 | $204.17 | $218.78 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $47.86 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $47.86 | $83.18 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $138.04 | $245.47 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $38.90 | $66.07 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $158.49 | $309.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $134.90 Median $707.95 Typical High $1,348.96 | Facility | None | $134.90 | $707.95 | $1,348.96 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $114.82 | Facility | 26 · Professional part | $64.57 | $66.07 | $114.82 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $234.42 Typical High $691.83 | Facility | TC · Technical part | $102.33 | $234.42 | $691.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $151.36 | $186.21 | $281.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $54.95 | $95.50 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $144.54 | $204.17 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $223.87 Typical High $467.74 | Professional | None (both parts) | $138.04 | $223.87 | $467.74 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $63.10 | $102.33 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $154.88 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $154.88 | $309.03 |
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 $162.18 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $162.18 | $229.09 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $51.29 | $58.88 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $102.33 | $162.18 | $234.42 |
8 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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $114.82 Median $141.25 Typical High $234.42 | Professional | CT · Older CT scanner | $114.82 | $141.25 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $131.83 Typical High $218.78 | Professional | FX · Film X-ray | $107.15 | $131.83 | $218.78 |
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $97.72 Median $562.34 Typical High $741.31 | Facility | ME · Imaging: follows guidelines | $97.72 | $562.34 | $741.31 |
Health Alliance Plan Setting Facility Modifier MG · Imaging: no guideline applies Typical Low $100.00 Median $741.31 Typical High $851.14 | Facility | MG · Imaging: no guideline applies | $100.00 | $741.31 | $851.14 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Where Michigan sits
The same service costs 6.2 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· 31st of 51
$204
VT $617UT $100
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.