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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $354.81 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $154.88 | Professional | 26 · Professional part | $125.89 | $151.36 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $218.78 | $229.09 | $229.09 |
BCBS Michigan Setting Facility Modifier None Typical Low $562.34 Median $851.14 Typical High $1,479.11 | Facility | None | $562.34 | $851.14 | $1,479.11 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $537.03 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $537.03 | $707.95 | $707.95 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $549.54 Typical High $1,258.93 | Professional | None (both parts) | $331.13 | $549.54 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $141.25 Typical High $295.12 | Professional | 26 · Professional part | $85.11 | $141.25 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $426.58 Typical High $1,000.00 | Professional | TC · Technical part | $199.53 | $426.58 | $1,000.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,445.44 | Facility | None | $389.05 | $851.14 | $1,445.44 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $537.03 Typical High $1,174.90 | Facility | TC · Technical part | $213.80 | $537.03 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $363.08 Median $489.78 Typical High $676.08 | Professional | None (both parts) | $363.08 | $489.78 | $676.08 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $158.49 | Professional | 26 · Professional part | $97.72 | $128.82 | $158.49 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $398.11 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $398.11 | $524.81 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $501.19 Typical High $1,047.13 | Professional | None (both parts) | $281.84 | $501.19 | $1,047.13 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $131.83 Typical High $245.47 | Professional | 26 · Professional part | $81.28 | $131.83 | $245.47 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $363.08 Typical High $870.96 | Professional | TC · Technical part | $177.83 | $363.08 | $870.96 |
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 $407.38 Median $537.03 Typical High $724.44 | Professional | None (both parts) | $407.38 | $537.03 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $109.65 | $128.82 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $407.38 Typical High $549.54 | Professional | TC · Technical part | $295.12 | $407.38 | $549.54 |
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 $181.97 Median $257.04 Typical High $338.84 | Professional | CT · Older CT scanner | $181.97 | $257.04 | $338.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $239.88 Typical High $323.59 | Professional | FX · Film X-ray | $169.82 | $239.88 | $323.59 |
Where Michigan sits
The same service costs 8.1 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· 26th 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.