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 $407.38 Median $416.87 Typical High $457.09 | Facility | None | $407.38 | $416.87 | $457.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $288.40 Typical High $660.69 | Facility | TC · Technical part | $263.03 | $288.40 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $537.03 | Professional | None (both parts) | $338.84 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $177.83 | Professional | 26 · Professional part | $112.20 | $144.54 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $269.15 Typical High $346.74 | Professional | TC · Technical part | $234.42 | $269.15 | $346.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $245.47 | $245.47 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | 26 · Professional part | $112.20 | $112.20 | $144.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $354.81 Median $524.81 Typical High $912.01 | Facility | None | $354.81 | $524.81 | $912.01 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $501.19 Typical High $537.03 | Professional | None (both parts) | $316.23 | $501.19 | $537.03 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $181.97 | $181.97 | $181.97 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $107.15 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $107.15 | $213.80 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $524.81 Typical High $1,000.00 | Professional | None (both parts) | $302.00 | $524.81 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $134.90 Typical High $275.42 | Professional | 26 · Professional part | $85.11 | $134.90 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $346.74 Typical High $776.25 | Professional | TC · Technical part | $199.53 | $346.74 | $776.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $389.05 Median $977.24 Typical High $1,548.82 | Facility | None | $389.05 | $977.24 | $1,548.82 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $144.54 Median $151.36 Typical High $263.03 | Facility | 26 · Professional part | $144.54 | $151.36 | $263.03 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $398.11 Typical High $794.33 | Facility | TC · Technical part | $269.15 | $398.11 | $794.33 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $354.81 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $354.81 | $371.54 | $549.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $169.82 | Professional | 26 · Professional part | $89.13 | $120.23 | $169.82 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $380.19 | Professional | TC · Technical part | $213.80 | $275.42 | $380.19 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $977.24 | Professional | None (both parts) | $281.84 | $436.52 | $977.24 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $229.09 | Professional | 26 · Professional part | $85.11 | $123.03 | $229.09 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $288.40 Typical High $660.69 | Professional | TC · Technical part | $181.97 | $288.40 | $660.69 |
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 $363.08 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $363.08 | $501.19 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $120.23 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $354.81 Typical High $575.44 | Professional | TC · Technical part | $245.47 | $354.81 | $575.44 |
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 $346.74 | Professional | CT · Older CT scanner | $181.97 | $257.04 | $346.74 |
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 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· 26th of 51
$437
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.