How much rates vary
Facilitymedian $25 · 10th to 90th $16 to $87Professionalmedian $22 · 10th to 90th $15 to $32
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 $21.88 Median $22.91 Typical High $28.84 | Facility | None | $21.88 | $22.91 | $28.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $22.39 Typical High $28.18 | Professional | None (both parts) | $19.05 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.75 Typical High $12.88 | Professional | 26 · Professional part | $9.33 | $11.75 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $10.47 Typical High $13.18 | Professional | TC · Technical part | $10.00 | $10.47 | $13.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $15.49 Median $23.44 Typical High $39.81 | Facility | None | $15.49 | $23.44 | $39.81 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $15.49 Median $30.20 Typical High $32.36 | Professional | None (both parts) | $15.49 | $30.20 | $32.36 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $16.60 | $16.60 | $16.60 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | TC · Technical part | $15.49 | $15.49 | $15.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.94 Median $12.88 Typical High $23.99 | Professional | None (both parts) | $7.94 | $12.88 | $23.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $27.54 Typical High $53.70 | Professional | None (both parts) | $15.49 | $27.54 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.88 Typical High $24.55 | Professional | 26 · Professional part | $6.92 | $12.88 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $13.18 Typical High $26.30 | Professional | TC · Technical part | $7.41 | $13.18 | $26.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $21.88 Median $50.12 Typical High $120.23 | Facility | None | $21.88 | $50.12 | $120.23 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $9.33 Median $18.62 Typical High $28.84 | Facility | TC · Technical part | $9.33 | $18.62 | $28.84 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $16.98 Median $20.89 Typical High $26.92 | Professional | None (both parts) | $16.98 | $20.89 | $26.92 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $14.13 | Professional | 26 · Professional part | $8.32 | $10.96 | $14.13 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.00 Typical High $13.18 | Professional | TC · Technical part | $8.71 | $10.00 | $13.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $25.12 Typical High $53.70 | Professional | None (both parts) | $15.85 | $25.12 | $53.70 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $7.08 | $12.02 | $21.88 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $11.75 Typical High $25.12 | Professional | TC · Technical part | $7.59 | $11.75 | $25.12 |
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 $18.62 Median $22.91 Typical High $33.11 | Professional | None (both parts) | $18.62 | $22.91 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $14.45 | Professional | 26 · Professional part | $9.12 | $10.72 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $11.48 Typical High $17.78 | Professional | TC · Technical part | $8.32 | $11.48 | $17.78 |
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 $8.71 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $8.71 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $10.00 Median $13.80 Typical High $17.78 | Professional | FX · Film X-ray | $10.00 | $13.80 | $17.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.47 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.17 |
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· 37th of 51
$22.39
AK $56.23FL $15.49
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.