How much rates vary
Facilitymedian $105 · 10th to 90th $65 to $251Professionalmedian $60 · 10th to 90th $39 to $89
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 $60.26 Median $63.10 Typical High $77.62 | Facility | None | $60.26 | $63.10 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $74.13 | Professional | None (both parts) | $48.98 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $16.22 | Professional | 26 · Professional part | $10.96 | $13.49 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $37.15 | $47.86 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $31.62 | $31.62 | $31.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $69.18 Median $104.71 Typical High $177.83 | Facility | None | $69.18 | $104.71 | $177.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $17.38 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $17.38 | $77.62 | $89.13 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $57.54 Typical High $131.83 | Professional | None (both parts) | $38.90 | $57.54 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $14.45 Typical High $28.84 | Professional | 26 · Professional part | $8.13 | $14.45 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $45.71 Typical High $102.33 | Professional | TC · Technical part | $29.51 | $45.71 | $102.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $63.10 Median $147.91 Typical High $380.19 | Facility | None | $63.10 | $147.91 | $380.19 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $79.43 Typical High $144.54 | Facility | TC · Technical part | $46.77 | $79.43 | $144.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $38.90 Median $54.95 Typical High $67.61 | Professional | None (both parts) | $38.90 | $54.95 | $67.61 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $16.22 | Professional | 26 · Professional part | $9.77 | $12.88 | $16.22 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $50.12 | Professional | TC · Technical part | $29.51 | $42.66 | $50.12 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $107.15 | Professional | None (both parts) | $38.02 | $50.12 | $107.15 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.80 Typical High $24.55 | Professional | 26 · Professional part | $8.32 | $13.80 | $24.55 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $79.43 | Professional | TC · Technical part | $29.51 | $38.02 | $79.43 |
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 $42.66 Median $50.12 Typical High $66.07 | Professional | None (both parts) | $42.66 | $50.12 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $10.96 | $12.59 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $31.62 | $38.02 | $50.12 |
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 $25.12 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $25.12 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $10.00 | $12.30 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $38.90 Typical High $50.12 | Professional | FX · Film X-ray | $28.84 | $38.90 | $50.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Where Michigan sits
The same service costs 4.5 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
$61.66
AK $148UT $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.