How much rates vary
Facilitymedian $55 · 10th to 90th $36 to $138Professionalmedian $36 · 10th to 90th $27 to $52
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 $36.31 Median $37.15 Typical High $46.77 | Facility | None | $36.31 | $37.15 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $43.65 | Professional | None (both parts) | $28.84 | $36.31 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $13.18 | Professional | 26 · Professional part | $8.91 | $11.48 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $28.18 | Professional | TC · Technical part | $19.95 | $25.70 | $28.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $36.31 Median $53.70 Typical High $93.33 | Facility | None | $36.31 | $53.70 | $93.33 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $32.36 Median $48.98 Typical High $52.48 | Professional | None (both parts) | $32.36 | $48.98 | $52.48 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $15.85 | $15.85 | $15.85 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $38.90 Typical High $72.44 | Professional | None (both parts) | $24.55 | $38.90 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.30 Typical High $24.55 | Professional | 26 · Professional part | $6.92 | $12.30 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $26.92 Typical High $54.95 | Professional | TC · Technical part | $16.22 | $26.92 | $54.95 |
Health Alliance Plan Setting Facility Modifier None Typical Low $37.15 Median $66.07 Typical High $177.83 | Facility | None | $37.15 | $66.07 | $177.83 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $43.65 Typical High $79.43 | Facility | TC · Technical part | $25.12 | $43.65 | $79.43 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $24.55 Median $34.67 Typical High $40.74 | Professional | None (both parts) | $24.55 | $34.67 | $40.74 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $13.18 | Professional | 26 · Professional part | $7.94 | $10.47 | $13.18 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.44 Typical High $26.92 | Professional | TC · Technical part | $16.60 | $23.44 | $26.92 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $23.99 | $34.67 | $63.10 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $7.08 | $11.22 | $19.95 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.39 Typical High $46.77 | Professional | TC · Technical part | $16.22 | $22.39 | $46.77 |
United Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $245.47 | Facility | None | $89.13 | $117.49 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $41.69 | Professional | None (both parts) | $27.54 | $31.62 | $41.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $13.80 | Professional | 26 · Professional part | $8.51 | $10.23 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.38 Typical High $28.84 | Professional | TC · Technical part | $19.05 | $21.38 | $28.84 |
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 $15.49 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $15.49 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.17 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $23.99 Typical High $29.51 | Professional | FX · Film X-ray | $18.20 | $23.99 | $29.51 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Where Michigan sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 32nd of 51
$36.31
AK $95.50FL $25.12
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.