How much rates vary
Facilitymedian $112 · 10th to 90th $37 to $209Professionalmedian $36 · 10th to 90th $25 to $51
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 $35.48 Median $36.31 Typical High $38.02 | Facility | None | $35.48 | $36.31 | $38.02 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $10.96 | Facility | 26 · Professional part | $10.23 | $10.47 | $10.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $26.30 Typical High $60.26 | Facility | TC · Technical part | $25.12 | $26.30 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $46.77 | Professional | None (both parts) | $27.54 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.23 Typical High $13.80 | Professional | 26 · Professional part | $7.76 | $10.23 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $32.36 | Professional | TC · Technical part | $19.95 | $26.30 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $13.18 | Professional | 26 · Professional part | $11.48 | $11.48 | $13.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $37.15 Median $54.95 Typical High $95.50 | Facility | None | $37.15 | $54.95 | $95.50 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $51.29 | Professional | None (both parts) | $34.67 | $47.86 | $51.29 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $37.15 | $37.15 | $37.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $22.39 Typical High $38.90 | Professional | None (both parts) | $8.13 | $22.39 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $22.91 | $34.67 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.72 Typical High $21.38 | Professional | 26 · Professional part | $6.31 | $10.72 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.12 Typical High $56.23 | Professional | TC · Technical part | $16.60 | $25.12 | $56.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $37.15 Median $144.54 Typical High $218.78 | Facility | None | $37.15 | $144.54 | $218.78 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $19.05 | Facility | 26 · Professional part | $10.23 | $10.47 | $19.05 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $79.43 | Facility | TC · Technical part | $25.12 | $33.11 | $79.43 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $21.88 Median $34.67 Typical High $44.67 | Professional | None (both parts) | $21.88 | $34.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.33 Typical High $14.45 | Professional | 26 · Professional part | $6.61 | $9.33 | $14.45 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $23.99 Typical High $28.18 | Professional | TC · Technical part | $15.14 | $23.99 | $28.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.90 Typical High $54.95 | Professional | None (both parts) | $22.91 | $30.90 | $54.95 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.55 Typical High $16.60 | Professional | 26 · Professional part | $6.31 | $9.55 | $16.60 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.89 Typical High $43.65 | Professional | TC · Technical part | $16.60 | $20.89 | $43.65 |
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 $24.55 Median $29.51 Typical High $38.02 | Professional | None (both parts) | $24.55 | $29.51 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $12.02 | Professional | 26 · Professional part | $7.94 | $8.91 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $26.92 | Professional | TC · Technical part | $16.60 | $20.42 | $26.92 |
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 $15.14 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $15.14 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.03 | $7.24 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $23.44 Typical High $28.84 | Professional | FX · Film X-ray | $17.38 | $23.44 | $28.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Where Michigan sits
The same service costs 4.3 times more in Alaska than in New York. 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· 27th of 51
$36.31
AK $93.33NY $21.88
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.