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 $245.47 Median $251.19 Typical High $251.19 | Facility | None | $245.47 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $245.47 | $251.19 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $61.66 | $75.86 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $302.00 | Professional | TC · Technical part | $169.82 | $173.78 | $302.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $588.84 | Facility | None | $229.09 | $338.84 | $588.84 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $89.13 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $89.13 | $288.40 | $323.59 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $204.17 | $371.54 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $77.62 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $257.04 Typical High $489.78 | Professional | TC · Technical part | $141.25 | $257.04 | $489.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $741.31 Typical High $1,479.11 | Facility | None | $251.19 | $741.31 | $1,479.11 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $436.52 Typical High $660.69 | Facility | TC · Technical part | $173.78 | $436.52 | $660.69 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $251.19 | $275.42 | $389.05 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $66.07 | $81.28 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $173.78 | $223.87 | $316.23 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $204.17 | $338.84 | $676.08 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $46.77 | $72.44 | $123.03 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $223.87 Typical High $478.63 | Professional | TC · Technical part | $141.25 | $223.87 | $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 $234.42 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $234.42 | $331.13 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $58.88 | $66.07 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $257.04 | $363.08 |
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 $123.03 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $123.03 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $52.48 | Professional | 53 · Discontinued | $48.98 | $50.12 | $52.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $204.17 Typical High $302.00 | Professional | CT · Older CT scanner | $147.91 | $204.17 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $190.55 Typical High $281.84 | Professional | FX · Film X-ray | $141.25 | $190.55 | $281.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $125.89 | $125.89 | $125.89 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Where Michigan sits
The same service costs 5.2 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· 34th of 51
$288
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.