How much rates vary
Facilitymedian $871 · 10th to 90th $339 to $2,188Professionalmedian $389 · 10th to 90th $288 to $513
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 $338.84 Typical High $354.81 | Facility | None | $331.13 | $338.84 | $354.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $117.49 | Facility | 26 · Professional part | $112.20 | $112.20 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $229.09 Typical High $660.69 | Facility | TC · Technical part | $223.87 | $229.09 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $323.59 | $338.84 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $112.20 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $223.87 | $229.09 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $85.11 | $123.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $323.59 Median $489.78 Typical High $831.76 | Facility | None | $323.59 | $489.78 | $831.76 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $128.82 Median $436.52 Typical High $467.74 | Professional | None (both parts) | $128.82 | $436.52 | $467.74 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
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 $81.28 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $81.28 | $194.98 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $446.68 Typical High $912.01 | Professional | None (both parts) | $275.42 | $446.68 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $107.15 Typical High $213.80 | Professional | 26 · Professional part | $64.57 | $107.15 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $302.00 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $302.00 | $660.69 |
Health Alliance Plan Setting Facility Modifier None Typical Low $346.74 Median $977.24 Typical High $2,238.72 | Facility | None | $346.74 | $977.24 | $2,238.72 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $218.78 | Facility | 26 · Professional part | $112.20 | $112.20 | $218.78 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $389.05 Typical High $1,659.59 | Facility | TC · Technical part | $223.87 | $389.05 | $1,659.59 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $512.86 | Professional | None (both parts) | $323.59 | $346.74 | $512.86 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $100.00 | $181.97 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $213.80 | $275.42 | $389.05 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $891.25 | Professional | None (both parts) | $269.15 | $389.05 | $891.25 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $95.50 | $186.21 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $602.56 | Professional | TC · Technical part | $186.21 | $263.03 | $602.56 |
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 $309.03 Median $436.52 Typical High $575.44 | Professional | None (both parts) | $309.03 | $436.52 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $89.13 | $100.00 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $457.09 | Professional | TC · Technical part | $213.80 | $323.59 | $457.09 |
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 $154.88 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $154.88 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $61.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $234.42 Typical High $331.13 | Professional | CT · Older CT scanner | $181.97 | $234.42 | $331.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $223.87 Typical High $309.03 | Professional | FX · Film X-ray | $169.82 | $223.87 | $309.03 |
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $588.84 Median $741.31 Typical High $1,318.26 | Facility | ME · Imaging: follows guidelines | $588.84 | $741.31 | $1,318.26 |
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 12.3 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· 25th of 51
$407
VT $2,089UT $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.