How much rates vary
Facilitymedian $631 · 10th to 90th $162 to $1,380Professionalmedian $195 · 10th to 90th $123 to $275
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 $162.18 Median $165.96 Typical High $208.93 | Facility | None | $162.18 | $165.96 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $64.57 | Facility | 26 · Professional part | $60.26 | $60.26 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $323.59 | Facility | TC · Technical part | $102.33 | $107.15 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $147.91 | $165.96 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $60.26 | $75.86 |
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 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $47.86 | $47.86 | $69.18 |
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 $72.44 Median $199.53 Typical High $213.80 | Professional | None (both parts) | $72.44 | $199.53 | $213.80 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $75.86 | $75.86 | $104.71 |
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 $43.65 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $43.65 | $83.18 | $162.18 |
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 $36.31 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $36.31 | $63.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $162.18 | $309.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $165.96 Median $707.95 Typical High $1,445.44 | Facility | None | $165.96 | $707.95 | $1,445.44 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $114.82 | Facility | 26 · Professional part | $60.26 | $61.66 | $114.82 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $426.58 | Facility | TC · Technical part | $102.33 | $154.88 | $426.58 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $147.91 | $181.97 | $269.15 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $53.70 | $89.13 |
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 $134.90 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $134.90 | $229.09 | $446.68 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $36.31 | $61.66 | $97.72 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $295.12 | Professional | TC · Technical part | $83.18 | $158.49 | $295.12 |
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 $158.49 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $158.49 | $229.09 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $50.12 | $56.23 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $165.96 | $234.42 |
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 $81.28 Median $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $81.28 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $32.36 | $33.11 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $109.65 Median $138.04 Typical High $234.42 | Professional | CT · Older CT scanner | $109.65 | $138.04 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $128.82 Typical High $218.78 | Professional | FX · Film X-ray | $104.71 | $128.82 | $218.78 |
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $398.11 Median $660.69 Typical High $851.14 | Facility | ME · Imaging: follows guidelines | $398.11 | $660.69 | $851.14 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
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· 32nd of 51
$200
AK $525UT $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.