How much rates vary
Facilitymedian $263 · 10th to 90th $174 to $513Professionalmedian $186 · 10th to 90th $123 to $245
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $66.07 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $107.15 | $123.03 | $123.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $173.78 Median $257.04 Typical High $446.68 | Facility | None | $173.78 | $257.04 | $446.68 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $134.90 | $245.47 | $245.47 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $363.08 | Professional | None (both parts) | $117.49 | $173.78 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $41.69 | $70.79 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $112.20 Typical High $269.15 | Professional | TC · Technical part | $61.66 | $112.20 | $269.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $190.55 Median $331.13 Typical High $363.08 | Facility | None | $190.55 | $331.13 | $363.08 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $123.03 | $165.96 | $194.98 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $63.10 | $77.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $75.86 | $100.00 | $125.89 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $117.49 | $158.49 | $309.03 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $67.61 | $117.49 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $208.93 | Professional | TC · Technical part | $60.26 | $95.50 | $208.93 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $2,187.76 | Facility | None | $812.83 | $1,047.13 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $128.82 | $158.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $56.23 | $63.10 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $100.00 | $131.83 |
5 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 $79.43 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $79.43 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $32.36 | $38.02 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $123.03 Typical High $151.36 | Professional | FX · Film X-ray | $95.50 | $123.03 | $151.36 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $93.33 | $95.50 | $95.50 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $37.15 | $38.02 | $38.02 |
Where Michigan sits
The same service costs 4.3 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· 25th of 51
$186
AK $513UT $120
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.