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 $213.80 Median $223.87 Typical High $275.42 | Facility | None | $213.80 | $223.87 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $446.68 | Facility | TC · Technical part | $141.25 | $199.53 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $194.98 | $218.78 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $74.13 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $144.54 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $83.18 | $85.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $478.63 | Facility | None | $186.21 | $281.84 | $478.63 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $87.10 Median $263.03 Typical High $281.84 | Professional | None (both parts) | $87.10 | $263.03 | $281.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
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 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $323.59 Typical High $562.34 | Professional | None (both parts) | $173.78 | $323.59 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $44.67 | $74.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $199.53 Typical High $398.11 | Professional | TC · Technical part | $114.82 | $199.53 | $398.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $263.03 Median $676.08 Typical High $1,380.38 | Facility | None | $263.03 | $676.08 | $1,380.38 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $354.81 Typical High $524.81 | Facility | TC · Technical part | $141.25 | $354.81 | $524.81 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $194.98 | $229.09 | $323.59 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $63.10 | $89.13 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $134.90 | $181.97 | $257.04 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $173.78 | $275.42 | $562.34 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $44.67 | $69.18 | $120.23 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $389.05 | Professional | TC · Technical part | $114.82 | $186.21 | $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 $56.23 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $63.10 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $204.17 | $288.40 |
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 $107.15 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $107.15 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $42.66 | $43.65 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $173.78 Typical High $257.04 | Professional | CT · Older CT scanner | $144.54 | $173.78 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $165.96 Typical High $239.88 | Professional | FX · Film X-ray | $138.04 | $165.96 | $239.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Where Michigan sits
The same service costs 5.5 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· 32nd of 51
$257
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.