How much rates vary
Facilitymedian $76 · 10th to 90th $43 to $302Professionalmedian $42 · 10th to 90th $30 to $59
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 $40.74 Median $41.69 Typical High $52.48 | Facility | None | $40.74 | $41.69 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $95.50 | Facility | TC · Technical part | $30.20 | $32.36 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $33.88 | $40.74 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.23 Typical High $13.80 | Professional | 26 · Professional part | $9.33 | $10.23 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $39.81 | Professional | TC · Technical part | $25.12 | $31.62 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $28.84 | Professional | None (both parts) | $26.92 | $26.92 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $13.18 | Professional | 26 · Professional part | $8.91 | $8.91 | $13.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $114.82 | Facility | None | $44.67 | $66.07 | $114.82 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $13.49 Median $54.95 Typical High $58.88 | Professional | None (both parts) | $13.49 | $54.95 | $58.88 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $8.13 | $26.92 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $28.18 | $43.65 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $12.88 Typical High $24.55 | Professional | 26 · Professional part | $6.31 | $12.88 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.90 Typical High $63.10 | Professional | TC · Technical part | $19.95 | $30.90 | $63.10 |
Health Alliance Plan Setting Facility Modifier None Typical Low $42.66 Median $141.25 Typical High $407.38 | Facility | None | $42.66 | $141.25 | $407.38 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $10.23 Median $10.72 Typical High $27.54 | Facility | 26 · Professional part | $10.23 | $10.72 | $27.54 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $72.44 | Facility | TC · Technical part | $30.20 | $40.74 | $72.44 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $29.51 Median $40.74 Typical High $50.12 | Professional | None (both parts) | $29.51 | $40.74 | $50.12 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $10.47 | $16.22 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $34.67 | Professional | TC · Technical part | $20.42 | $28.84 | $34.67 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $40.74 Typical High $74.13 | Professional | None (both parts) | $28.18 | $40.74 | $74.13 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.88 Typical High $24.55 | Professional | 26 · Professional part | $7.24 | $12.88 | $24.55 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.92 Typical High $56.23 | Professional | TC · Technical part | $19.95 | $26.92 | $56.23 |
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 $33.11 Median $37.15 Typical High $48.98 | Professional | None (both parts) | $33.11 | $37.15 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $10.00 | $12.02 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $33.88 | Professional | TC · Technical part | $21.88 | $25.12 | $33.88 |
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 $17.38 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $17.38 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $6.92 | $8.32 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $26.92 Typical High $33.11 | Professional | FX · Film X-ray | $21.38 | $26.92 | $33.11 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Where Michigan sits
The same service costs 3.6 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· 34th of 51
$41.69
AK $105FL $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.