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 $295.12 Median $302.00 Typical High $380.19 | Facility | None | $295.12 | $302.00 | $380.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $676.08 | Facility | TC · Technical part | $223.87 | $323.59 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $269.15 | $302.00 | $467.74 |
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 $213.80 Median $229.09 Typical High $363.08 | Professional | TC · Technical part | $213.80 | $229.09 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $45.71 | $95.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $831.76 | Facility | None | $323.59 | $478.63 | $831.76 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $416.87 | Professional | None (both parts) | $302.00 | $389.05 | $416.87 |
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 $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $223.87 | $398.11 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $43.65 | $74.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $295.12 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $295.12 | $575.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $660.69 Typical High $1,621.81 | Facility | None | $173.78 | $660.69 | $1,621.81 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $501.19 Typical High $676.08 | Facility | TC · Technical part | $229.09 | $501.19 | $676.08 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $275.42 | $288.40 | $426.58 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $63.10 | $77.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $229.09 Typical High $354.81 | Professional | TC · Technical part | $213.80 | $229.09 | $354.81 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $213.80 | $363.08 | $645.65 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $69.18 | $120.23 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $478.63 | Professional | TC · Technical part | $169.82 | $245.47 | $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 $275.42 Median $346.74 Typical High $436.52 | Professional | None (both parts) | $275.42 | $346.74 | $436.52 |
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 $208.93 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $208.93 | $275.42 | $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 $138.04 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $54.95 | $60.26 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $229.09 Typical High $295.12 | Professional | CT · Older CT scanner | $181.97 | $229.09 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $213.80 Typical High $281.84 | Professional | FX · Film X-ray | $169.82 | $213.80 | $281.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Where Michigan sits
The same service costs 5.0 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· 27th of 51
$347
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.