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 $478.63 Median $489.78 Typical High $616.60 | Facility | None | $478.63 | $489.78 | $616.60 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $144.54 | Facility | 26 · Professional part | $134.90 | $134.90 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $363.08 Typical High $1,096.48 | Facility | TC · Technical part | $338.84 | $363.08 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $436.52 | $489.78 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $162.18 | Professional | 26 · Professional part | $102.33 | $134.90 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $354.81 Typical High $512.86 | Professional | TC · Technical part | $331.13 | $354.81 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $102.33 | $102.33 | $147.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $1,174.90 | Facility | None | $457.09 | $676.08 | $1,174.90 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $154.88 Median $588.84 Typical High $630.96 | Professional | None (both parts) | $154.88 | $588.84 | $630.96 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $457.09 | $457.09 | $457.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $97.72 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $97.72 | $275.42 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $588.84 Typical High $1,071.52 | Professional | None (both parts) | $331.13 | $588.84 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $128.82 Typical High $257.04 | Professional | 26 · Professional part | $77.62 | $128.82 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $426.58 Typical High $851.14 | Professional | TC · Technical part | $239.88 | $426.58 | $851.14 |
Health Alliance Plan Setting Facility Modifier None Typical Low $501.19 Median $1,862.09 Typical High $3,630.78 | Facility | None | $501.19 | $1,862.09 | $3,630.78 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $245.47 | Facility | 26 · Professional part | $134.90 | $134.90 | $245.47 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $489.78 Typical High $1,122.02 | Facility | TC · Technical part | $338.84 | $489.78 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $436.52 | $489.78 | $691.83 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $112.20 | $194.98 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $354.81 Typical High $537.03 | Professional | TC · Technical part | $331.13 | $354.81 | $537.03 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $309.03 | $478.63 | $1,000.00 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $213.80 | Professional | 26 · Professional part | $77.62 | $117.49 | $213.80 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $346.74 Typical High $758.58 | Professional | TC · Technical part | $234.42 | $346.74 | $758.58 |
United Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $977.24 | Facility | None | $354.81 | $467.74 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $524.81 Typical High $645.65 | Professional | None (both parts) | $407.38 | $524.81 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $114.82 Typical High $151.36 | Professional | 26 · Professional part | $102.33 | $114.82 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $426.58 Typical High $512.86 | Professional | TC · Technical part | $302.00 | $426.58 | $512.86 |
2 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 CT · Older CT scanner Typical Low $234.42 Median $338.84 Typical High $457.09 | Professional | CT · Older CT scanner | $234.42 | $338.84 | $457.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $323.59 Typical High $436.52 | Professional | FX · Film X-ray | $218.78 | $323.59 | $436.52 |
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
$537
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.