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 $331.13 Median $338.84 Typical High $426.58 | Facility | None | $331.13 | $338.84 | $426.58 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $676.08 | Facility | TC · Technical part | $223.87 | $288.40 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $316.23 | $338.84 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $109.65 | $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 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $389.05 Median $741.31 Typical High $1,348.96 | Facility | None | $389.05 | $741.31 | $1,348.96 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $331.13 Median $457.09 Typical High $912.01 | Professional | None (both parts) | $331.13 | $457.09 | $912.01 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $426.58 Typical High $870.96 | Professional | None (both parts) | $263.03 | $426.58 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $102.33 Typical High $208.93 | Professional | 26 · Professional part | $64.57 | $102.33 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $316.23 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $316.23 | $676.08 |
Health Alliance Plan Setting Facility Modifier None Typical Low $338.84 Median $933.25 Typical High $1,905.46 | Facility | None | $338.84 | $933.25 | $1,905.46 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $426.58 Typical High $724.44 | Facility | TC · Technical part | $223.87 | $426.58 | $724.44 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $316.23 | $338.84 | $478.63 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $69.18 | $91.20 | $120.23 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $213.80 | $251.19 | $380.19 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $758.58 | Professional | None (both parts) | $263.03 | $338.84 | $758.58 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $93.33 | $173.78 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $190.55 | $269.15 | $537.03 |
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 $323.59 Median $416.87 Typical High $537.03 | Professional | None (both parts) | $323.59 | $416.87 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $93.33 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $234.42 | $309.03 | $426.58 |
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 $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 $63.10 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $63.10 | $67.61 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $234.42 Typical High $323.59 | Professional | CT · Older CT scanner | $181.97 | $234.42 | $323.59 |
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 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 6.0 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· 34th of 51
$372
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.