How much rates vary
Facilitymedian $85 · 10th to 90th $55 to $178Professionalmedian $54 · 10th to 90th $38 to $78
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 $53.70 Median $54.95 Typical High $69.18 | Facility | None | $53.70 | $54.95 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $120.23 | Facility | TC · Technical part | $38.02 | $41.69 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $44.67 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.49 Typical High $18.20 | Professional | 26 · Professional part | $12.59 | $15.49 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $39.81 Typical High $45.71 | Professional | TC · Technical part | $31.62 | $39.81 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $12.88 | $12.88 | $22.39 |
BCBS Setting Facility Modifier None Typical Low $56.23 Median $83.18 Typical High $144.54 | Facility | None | $56.23 | $83.18 | $144.54 |
BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $72.44 Typical High $77.62 | Professional | None (both parts) | $48.98 | $72.44 | $77.62 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $53.70 Typical High $104.71 | Professional | None (both parts) | $34.67 | $53.70 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $16.98 Typical High $33.11 | Professional | 26 · Professional part | $9.55 | $16.98 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $37.15 Typical High $85.11 | Professional | TC · Technical part | $24.55 | $37.15 | $85.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $54.95 Median $102.33 Typical High $263.03 | Facility | None | $54.95 | $102.33 | $263.03 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $60.26 Typical High $120.23 | Facility | TC · Technical part | $38.90 | $60.26 | $120.23 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $34.67 | $48.98 | $58.88 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.13 Typical High $18.20 | Professional | 26 · Professional part | $10.72 | $14.13 | $18.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $41.69 | Professional | TC · Technical part | $24.55 | $34.67 | $41.69 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $34.67 | $48.98 | $89.13 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $15.85 Typical High $27.54 | Professional | 26 · Professional part | $9.77 | $15.85 | $27.54 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $66.07 | Professional | TC · Technical part | $23.99 | $33.11 | $66.07 |
United Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $295.12 | Facility | None | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $39.81 | $45.71 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $19.50 | Professional | 26 · Professional part | $12.59 | $14.13 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.90 Typical High $42.66 | Professional | TC · Technical part | $27.54 | $30.90 | $42.66 |
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 $22.91 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $22.91 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $9.12 | $10.96 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $35.48 Typical High $43.65 | Professional | FX · Film X-ray | $25.70 | $35.48 | $43.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $26.30 | $27.54 | $27.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Where Michigan sits
The same service costs 4.1 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· 28th of 51
$54.95
AK $132UT $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.