How much rates vary
Facilitymedian $1,072 · 10th to 90th $407 to $3,548Professionalmedian $437 · 10th to 90th $309 to $676
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 $398.11 Median $407.38 Typical High $501.19 | Facility | None | $398.11 | $407.38 | $501.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $870.96 | Facility | TC · Technical part | $263.03 | $346.74 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $389.05 | $398.11 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $128.82 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $269.15 Typical High $371.54 | Professional | TC · Technical part | $263.03 | $269.15 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $537.03 | Professional | None (both parts) | $257.04 | $257.04 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $107.15 | $107.15 | $154.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $389.05 Median $575.44 Typical High $1,000.00 | Facility | None | $389.05 | $575.44 | $1,000.00 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $489.78 Median $524.81 Typical High $562.34 | Professional | None (both parts) | $489.78 | $524.81 | $562.34 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $389.05 | $389.05 | $389.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $102.33 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $102.33 | $234.42 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $501.19 Typical High $851.14 | Professional | None (both parts) | $316.23 | $501.19 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $138.04 Typical High $269.15 | Professional | 26 · Professional part | $81.28 | $138.04 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $616.60 | Professional | TC · Technical part | $229.09 | $346.74 | $616.60 |
Health Alliance Plan Setting Facility Modifier None Typical Low $676.08 Median $2,290.87 Typical High $3,548.13 | Facility | None | $676.08 | $2,290.87 | $3,548.13 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $128.82 Median $134.90 Typical High $269.15 | Facility | 26 · Professional part | $128.82 | $134.90 | $269.15 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $512.86 Typical High $870.96 | Facility | TC · Technical part | $269.15 | $512.86 | $870.96 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $501.19 | Professional | None (both parts) | $309.03 | $407.38 | $501.19 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $123.03 | $154.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $346.74 | Professional | TC · Technical part | $218.78 | $275.42 | $346.74 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $741.31 | Professional | None (both parts) | $316.23 | $457.09 | $741.31 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $128.82 | $223.87 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $295.12 Typical High $588.84 | Professional | TC · Technical part | $204.17 | $295.12 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $676.08 Typical High $1,000.00 | Professional | None (both parts) | $407.38 | $676.08 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $77.62 | $97.72 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $549.54 Typical High $912.01 | Professional | TC · Technical part | $288.40 | $549.54 | $912.01 |
1 more rate 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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $3,162.28 Median $3,235.94 Typical High $3,890.45 | Facility | ME · Imaging: follows guidelines | $3,162.28 | $3,235.94 | $3,890.45 |
Where Michigan sits
The same service costs 6.0 times more in Wyoming 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
$479
WY $1,380UT $229
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.