How much rates vary
Facilitymedian $603 · 10th to 90th $162 to $1,380Professionalmedian $214 · 10th to 90th $148 to $398
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 $173.78 | Facility | None | $162.18 | $165.96 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $323.59 | Facility | TC · Technical part | $102.33 | $109.65 | $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 $74.13 | Professional | 26 · Professional part | $47.86 | $60.26 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $107.15 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $64.57 | $91.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $154.88 Median $302.00 Typical High $575.44 | Facility | None | $154.88 | $302.00 | $575.44 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $380.19 Typical High $398.11 | Professional | None (both parts) | $134.90 | $380.19 | $398.11 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
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 $131.83 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $131.83 | $229.09 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $36.31 | $61.66 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $158.49 | $309.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $162.18 Median $758.58 Typical High $1,445.44 | Facility | None | $162.18 | $758.58 | $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 $104.71 Median $134.90 Typical High $389.05 | Facility | TC · Technical part | $104.71 | $134.90 | $389.05 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $147.91 | $181.97 | $288.40 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $53.70 | $77.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $100.00 | $141.25 | $199.53 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $194.98 Typical High $407.38 | Professional | None (both parts) | $131.83 | $194.98 | $407.38 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $36.31 | $58.88 | $97.72 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $151.36 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $151.36 | $281.84 |
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 $218.78 Typical High $281.84 | Professional | None (both parts) | $158.49 | $218.78 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $54.95 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $107.15 | $158.49 | $218.78 |
10 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 $33.11 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $33.11 | $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 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $288.40 Median $416.87 Typical High $724.44 | Facility | 50 · Both sides | $288.40 | $416.87 | $724.44 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 50 · Both sides | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $234.42 Median $263.03 Typical High $407.38 | Professional | 50 · Both sides | $234.42 | $263.03 | $407.38 |
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 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $234.42 Median $263.03 Typical High $407.38 | Professional | 50 · Both sides | $234.42 | $263.03 | $407.38 |
Where Michigan sits
The same service costs 5.8 times more in Vermont 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· 26th of 51
$214
VT $603UT $105
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.