How much rates vary
Facilitymedian $676 · 10th to 90th $214 to $1,380Professionalmedian $251 · 10th to 90th $174 to $347
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 $208.93 Median $213.80 Typical High $223.87 | Facility | None | $208.93 | $213.80 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $75.86 | Facility | 26 · Professional part | $70.79 | $70.79 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $446.68 | Facility | TC · Technical part | $138.04 | $144.54 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $346.74 | Professional | None (both parts) | $190.55 | $213.80 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $70.79 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $144.54 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $67.61 | $107.15 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $63.10 | $83.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $186.21 Median $275.42 Typical High $478.63 | Facility | None | $186.21 | $275.42 | $478.63 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $165.96 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $165.96 | $257.04 | $275.42 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $51.29 | $112.20 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $173.78 | $302.00 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $41.69 | $70.79 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $114.82 | $199.53 | $389.05 |
Health Alliance Plan Setting Facility Modifier None Typical Low $239.88 Median $724.44 Typical High $1,412.54 | Facility | None | $239.88 | $724.44 | $1,412.54 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $72.44 Typical High $141.25 | Facility | 26 · Professional part | $70.79 | $72.44 | $141.25 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $281.84 Typical High $537.03 | Facility | TC · Technical part | $138.04 | $281.84 | $537.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $190.55 | $229.09 | $346.74 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $66.07 | $147.91 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $181.97 | $257.04 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $173.78 | $269.15 | $562.34 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $41.69 | $69.18 | $123.03 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $389.05 | Professional | TC · Technical part | $114.82 | $173.78 | $389.05 |
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 $199.53 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $199.53 | $275.42 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $64.57 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $204.17 Typical High $288.40 | Professional | TC · Technical part | $134.90 | $204.17 | $288.40 |
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 $104.71 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $104.71 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $41.69 | $42.66 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $169.82 Typical High $257.04 | Professional | CT · Older CT scanner | $141.25 | $169.82 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $162.18 Typical High $239.88 | Professional | FX · Film X-ray | $134.90 | $162.18 | $239.88 |
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $467.74 Median $630.96 Typical High $1,174.90 | Facility | ME · Imaging: follows guidelines | $467.74 | $630.96 | $1,174.90 |
Health Alliance Plan Setting Facility Modifier MG · Imaging: no guideline applies Typical Low $416.87 Median $616.60 Typical High $1,000.00 | Facility | MG · Imaging: no guideline applies | $416.87 | $616.60 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Where Michigan sits
The same service costs 5.9 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
$257
VT $741UT $126
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.