How much rates vary
Facilitymedian $490 · 10th to 90th $245 to $891Professionalmedian $47 · 10th to 90th $22 to $282
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $223.87 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $17.38 | Professional | 26 · Professional part | $14.13 | $16.98 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $251.19 | $281.84 | $281.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $269.15 Median $512.86 Typical High $954.99 | Facility | None | $269.15 | $512.86 | $954.99 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $21.88 Median $23.44 Typical High $43.65 | Professional | None (both parts) | $21.88 | $23.44 | $43.65 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $37.15 | $58.88 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $17.78 Typical High $34.67 | Professional | 26 · Professional part | $10.23 | $17.78 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $43.65 Typical High $85.11 | Professional | TC · Technical part | $27.54 | $43.65 | $85.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $263.03 | Facility | None | $104.71 | $123.03 | $263.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $263.03 | Professional | None (both parts) | $41.69 | $56.23 | $263.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.22 Typical High $19.95 | Professional | 26 · Professional part | $12.30 | $16.22 | $19.95 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $39.81 Typical High $257.04 | Professional | TC · Technical part | $29.51 | $39.81 | $257.04 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $37.15 | $57.54 | $109.65 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.22 Typical High $30.20 | Professional | 26 · Professional part | $10.47 | $16.22 | $30.20 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $41.69 Typical High $79.43 | Professional | TC · Technical part | $27.54 | $41.69 | $79.43 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $676.08 | Facility | None | $245.47 | $323.59 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $46.77 | $229.09 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $13.18 | $15.14 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $33.88 | $223.87 | $346.74 |
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 $112.20 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $112.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $44.67 | $57.54 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $177.83 Typical High $275.42 | Professional | FX · Film X-ray | $123.03 | $177.83 | $275.42 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $128.82 | $128.82 | $128.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Where Michigan sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 51st of 51
$47.86
CO $316MI $47.86
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.