How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $38.02 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $7.76 | $9.55 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $30.20 | $37.15 | $37.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $53.70 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $41.69 Typical High $91.20 | Professional | None (both parts) | $28.18 | $41.69 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $10.00 Typical High $18.62 | Professional | 26 · Professional part | $5.62 | $10.00 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $36.31 Typical High $77.62 | Professional | TC · Technical part | $19.05 | $36.31 | $77.62 |
Health Alliance Plan Setting Facility Modifier None Typical Low $44.67 Median $89.13 Typical High $147.91 | Facility | None | $44.67 | $89.13 | $147.91 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $47.86 | Professional | None (both parts) | $30.20 | $39.81 | $47.86 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.51 Typical High $10.00 | Professional | 26 · Professional part | $6.61 | $8.51 | $10.00 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $38.02 | Professional | TC · Technical part | $23.99 | $30.90 | $38.02 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $75.86 | Professional | None (both parts) | $27.54 | $38.02 | $75.86 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.12 Typical High $15.85 | Professional | 26 · Professional part | $5.62 | $9.12 | $15.85 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $30.20 Typical High $67.61 | Professional | TC · Technical part | $18.62 | $30.20 | $67.61 |
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 $30.20 Median $38.02 Typical High $51.29 | Professional | None (both parts) | $30.20 | $38.02 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.51 Typical High $11.22 | Professional | 26 · Professional part | $7.59 | $8.51 | $11.22 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $38.90 | Professional | TC · Technical part | $22.39 | $30.20 | $38.90 |
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 $18.62 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $18.62 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $7.59 | $9.33 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $30.20 Typical High $38.02 | Professional | FX · Film X-ray | $22.91 | $30.20 | $38.02 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.91 | $8.91 | $8.91 |
Where Michigan sits
The same service costs 3.6 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· 24th of 51
$45.71
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.