How much rates vary
Facilitymedian $87 · 10th to 90th $45 to $240Professionalmedian $44 · 10th to 90th $27 to $62
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 $42.66 Median $43.65 Typical High $45.71 | Facility | None | $42.66 | $43.65 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $79.43 | Facility | TC · Technical part | $32.36 | $34.67 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $56.23 | Professional | None (both parts) | $33.11 | $43.65 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $13.49 | Professional | 26 · Professional part | $7.76 | $9.77 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $42.66 | Professional | TC · Technical part | $25.70 | $33.88 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | None (both parts) | $30.20 | $30.20 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.30 |
BCBS Michigan Setting Facility Modifier None Typical Low $47.86 Median $70.79 Typical High $123.03 | Facility | None | $47.86 | $70.79 | $123.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $61.66 | Professional | None (both parts) | $44.67 | $57.54 | $61.66 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.80 | $13.80 | $13.80 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $40.74 Typical High $81.28 | Professional | None (both parts) | $27.54 | $40.74 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.23 Typical High $21.38 | Professional | 26 · Professional part | $6.03 | $10.23 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $31.62 Typical High $72.44 | Professional | TC · Technical part | $20.42 | $31.62 | $72.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $44.67 Median $158.49 Typical High $257.04 | Facility | None | $44.67 | $158.49 | $257.04 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $10.47 Typical High $19.95 | Facility | 26 · Professional part | $9.77 | $10.47 | $19.95 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $104.71 | Facility | TC · Technical part | $33.11 | $44.67 | $104.71 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $26.92 Median $41.69 Typical High $52.48 | Professional | None (both parts) | $26.92 | $41.69 | $52.48 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.12 Typical High $11.75 | Professional | 26 · Professional part | $6.76 | $9.12 | $11.75 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.90 Typical High $38.02 | Professional | TC · Technical part | $19.95 | $30.90 | $38.02 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $67.61 | Professional | None (both parts) | $26.92 | $35.48 | $67.61 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $6.17 | $9.55 | $17.38 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $56.23 | Professional | TC · Technical part | $20.42 | $25.70 | $56.23 |
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 $28.84 Median $34.67 Typical High $44.67 | Professional | None (both parts) | $28.84 | $34.67 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $7.94 | $8.91 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $26.30 | $35.48 |
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 $18.20 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $18.20 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $7.41 | $8.71 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $28.18 Typical High $35.48 | Professional | FX · Film X-ray | $19.95 | $28.18 | $35.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Where Michigan sits
The same service costs 3.9 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· 23rd of 51
$43.65
AK $112FL $28.84
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.