How much rates vary
Facilitymedian $112 · 10th to 90th $74 to $214Professionalmedian $69 · 10th to 90th $45 to $95
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $58.88 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $20.42 | Professional | 26 · Professional part | $16.60 | $19.95 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $42.66 | $51.29 | $51.29 |
BCBS Michigan Setting Facility Modifier None Typical Low $74.13 Median $109.65 Typical High $190.55 | Facility | None | $74.13 | $109.65 | $190.55 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $69.18 | $95.50 | $95.50 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $66.07 Typical High $134.90 | Professional | None (both parts) | $44.67 | $66.07 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $21.88 Typical High $41.69 | Professional | 26 · Professional part | $12.02 | $21.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $44.67 Typical High $109.65 | Professional | TC · Technical part | $30.20 | $44.67 | $109.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $69.18 Median $120.23 Typical High $131.83 | Facility | None | $69.18 | $120.23 | $131.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $70.79 | Professional | None (both parts) | $44.67 | $60.26 | $70.79 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.62 Typical High $22.91 | Professional | 26 · Professional part | $13.80 | $18.62 | $22.91 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $50.12 | Professional | TC · Technical part | $30.90 | $40.74 | $50.12 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $43.65 | $54.95 | $97.72 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.05 Typical High $32.36 | Professional | 26 · Professional part | $12.30 | $19.05 | $32.36 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $70.79 | Professional | TC · Technical part | $28.84 | $36.31 | $70.79 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,548.82 | Facility | None | $562.34 | $724.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $54.95 Typical High $72.44 | Professional | None (both parts) | $42.66 | $54.95 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.20 Typical High $23.44 | Professional | 26 · Professional part | $15.85 | $18.20 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $52.48 | Professional | TC · Technical part | $26.92 | $37.15 | $52.48 |
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 $29.51 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $29.51 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $11.75 | $14.13 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $45.71 Typical High $56.23 | Professional | FX · Film X-ray | $31.62 | $45.71 | $56.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Where Michigan sits
The same service costs 5.6 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· 22nd of 51
$69.18
AK $182UT $32.36
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.