How much rates vary
Facilitymedian $60 · 10th to 90th $38 to $141Professionalmedian $37 · 10th to 90th $25 to $54
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 $38.02 Typical High $46.77 | Facility | None | $36.31 | $38.02 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $83.18 | Facility | TC · Technical part | $26.92 | $28.84 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $46.77 | Professional | None (both parts) | $30.20 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $12.59 | Professional | 26 · Professional part | $7.94 | $9.77 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $32.36 | Professional | TC · Technical part | $21.88 | $27.54 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | None (both parts) | $25.12 | $25.12 | $33.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $39.81 Median $58.88 Typical High $102.33 | Facility | None | $39.81 | $58.88 | $102.33 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $12.88 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $12.88 | $37.15 | $53.70 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $24.55 | $38.02 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.72 Typical High $21.38 | Professional | 26 · Professional part | $6.03 | $10.72 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $27.54 Typical High $58.88 | Professional | TC · Technical part | $17.78 | $27.54 | $58.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $36.31 Median $74.13 Typical High $173.78 | Facility | None | $36.31 | $74.13 | $173.78 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $48.98 Typical High $83.18 | Facility | TC · Technical part | $26.92 | $48.98 | $83.18 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $25.12 Median $35.48 Typical High $41.69 | Professional | None (both parts) | $25.12 | $35.48 | $41.69 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.91 Typical High $11.22 | Professional | 26 · Professional part | $6.76 | $8.91 | $11.22 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.30 Typical High $29.51 | Professional | TC · Technical part | $18.62 | $26.30 | $29.51 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $24.55 | $33.88 | $61.66 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.77 Typical High $17.38 | Professional | 26 · Professional part | $6.17 | $9.77 | $17.38 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $24.55 Typical High $50.12 | Professional | TC · Technical part | $17.78 | $24.55 | $50.12 |
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 $42.66 | Professional | None (both parts) | $27.54 | $31.62 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $12.30 | Professional | 26 · Professional part | $7.94 | $8.91 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.39 Typical High $30.20 | Professional | TC · Technical part | $19.50 | $22.39 | $30.20 |
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 $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.17 | $7.59 | $7.59 |
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 3.5 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· 31st of 51
$37.15
AK $87.10FL $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.