How much rates vary
Facilitymedian $417 · 10th to 90th $229 to $891Professionalmedian $316 · 10th to 90th $240 to $603
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 $245.47 Median $251.19 Typical High $263.03 | Facility | None | $245.47 | $251.19 | $263.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $549.54 | Facility | TC · Technical part | $173.78 | $245.47 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $239.88 | $251.19 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $72.44 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $169.82 | $177.83 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $239.88 Median $478.63 Typical High $954.99 | Facility | None | $239.88 | $478.63 | $954.99 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $302.00 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $302.00 | $323.59 | $602.56 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $199.53 | $338.84 | $645.65 |
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 $147.91 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $147.91 | $263.03 | $478.63 |
Health Alliance Plan Setting Facility Modifier None Typical Low $186.21 Median $588.84 Typical High $831.76 | Facility | None | $186.21 | $588.84 | $831.76 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $416.87 Typical High $691.83 | Facility | TC · Technical part | $177.83 | $416.87 | $691.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $251.19 | $288.40 | $398.11 |
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 $173.78 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $173.78 | $239.88 | $316.23 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $630.96 | Professional | None (both parts) | $199.53 | $302.00 | $630.96 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $67.61 | $120.23 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $234.42 Typical High $478.63 | Professional | TC · Technical part | $141.25 | $234.42 | $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 $234.42 Median $338.84 Typical High $426.58 | Professional | None (both parts) | $234.42 | $338.84 | $426.58 |
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 $173.78 Median $263.03 Typical High $363.08 | Professional | TC · Technical part | $173.78 | $263.03 | $363.08 |
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 $123.03 Median $125.89 Typical High $128.82 | Professional | 52 · Reduced service | $123.03 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $48.98 | $50.12 | $51.29 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $199.53 Typical High $295.12 | Professional | CT · Older CT scanner | $147.91 | $199.53 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $190.55 Typical High $281.84 | Professional | FX · Film X-ray | $141.25 | $190.55 | $281.84 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $691.83 Typical High $1,202.26 | Facility | 50 · Both sides | $478.63 | $691.83 | $1,202.26 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 50 · Both sides | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $407.38 Typical High $575.44 | Professional | 50 · Both sides | $354.81 | $407.38 | $575.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $125.89 | $125.89 | $125.89 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $407.38 Typical High $602.56 | Professional | 50 · Both sides | $354.81 | $407.38 | $602.56 |
Where Michigan sits
The same service costs 5.1 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· 30th of 51
$316
AK $776UT $151
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.