How much rates vary
Facilitymedian $95 · 10th to 90th $51 to $380Professionalmedian $51 · 10th to 90th $38 to $72
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 $50.12 Median $51.29 Typical High $64.57 | Facility | None | $50.12 | $51.29 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $109.65 | Facility | TC · Technical part | $34.67 | $38.02 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $42.66 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $15.49 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $43.65 | Professional | TC · Technical part | $28.84 | $36.31 | $43.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $51.29 Median $75.86 Typical High $131.83 | Facility | None | $51.29 | $75.86 | $131.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $44.67 Median $67.61 Typical High $72.44 | Professional | None (both parts) | $44.67 | $67.61 | $72.44 |
BCBS Michigan 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 Michigan Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $34.67 | $57.54 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $9.77 | $18.62 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $24.55 | $38.90 | $75.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $52.48 Median $229.09 Typical High $389.05 | Facility | None | $52.48 | $229.09 | $389.05 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $61.66 Typical High $109.65 | Facility | TC · Technical part | $34.67 | $61.66 | $109.65 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $63.10 | Professional | None (both parts) | $38.02 | $50.12 | $63.10 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $22.39 | Professional | 26 · Professional part | $13.18 | $15.85 | $22.39 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $40.74 | Professional | TC · Technical part | $24.55 | $34.67 | $40.74 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $53.70 Typical High $97.72 | Professional | None (both parts) | $34.67 | $53.70 | $97.72 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $18.62 Typical High $33.88 | Professional | 26 · Professional part | $10.96 | $18.62 | $33.88 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $23.44 | $33.11 | $69.18 |
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 $42.66 Median $48.98 Typical High $64.57 | Professional | None (both parts) | $42.66 | $48.98 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.38 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $17.38 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $41.69 | Professional | TC · Technical part | $28.18 | $31.62 | $41.69 |
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 $21.38 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $21.38 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $8.51 | $10.23 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $33.11 Typical High $40.74 | Professional | FX · Film X-ray | $26.92 | $33.11 | $40.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Where Michigan sits
The same service costs 4.0 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· 34th of 51
$51.29
AK $132UT $33.11
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.