How much rates vary
Facilitymedian $603 · 10th to 90th $339 to $2,042Professionalmedian $380 · 10th to 90th $155 to $537
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 $239.88 Typical High $660.69 | Facility | TC · Technical part | $223.87 | $239.88 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $323.59 | $338.84 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $131.83 | Professional | 26 · Professional part | $85.11 | $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 $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $933.25 | Facility | None | $363.08 | $549.54 | $933.25 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $128.82 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $128.82 | $389.05 | $501.19 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $467.74 Typical High $912.01 | Professional | None (both parts) | $281.84 | $467.74 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $107.15 Typical High $213.80 | Professional | 26 · Professional part | $64.57 | $107.15 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $331.13 Typical High $707.95 | Professional | TC · Technical part | $199.53 | $331.13 | $707.95 |
Health Alliance Plan Setting Facility Modifier None Typical Low $338.84 Median $1,122.02 Typical High $2,238.72 | Facility | None | $338.84 | $1,122.02 | $2,238.72 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $112.20 Typical High $218.78 | Facility | 26 · Professional part | $109.65 | $112.20 | $218.78 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $398.11 Typical High $891.25 | Facility | TC · Technical part | $223.87 | $398.11 | $891.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $323.59 | $380.19 | $537.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $74.13 | $97.72 | $125.89 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $309.03 | $416.87 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $891.25 | Professional | None (both parts) | $275.42 | $398.11 | $891.25 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $95.50 | $186.21 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $269.15 Typical High $602.56 | Professional | TC · Technical part | $190.55 | $269.15 | $602.56 |
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 $331.13 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $331.13 | $457.09 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $87.10 | $97.72 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $234.42 | $331.13 | $467.74 |
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 $158.49 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $158.49 | $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 $331.13 | Professional | CT · Older CT scanner | $181.97 | $234.42 | $331.13 |
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 Texas. 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· 33rd of 51
$380
AK $1,023TX $170
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.