How much rates vary
Facilitymedian $174 · 10th to 90th $115 to $309Professionalmedian $123 · 10th to 90th $74 to $174
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 $125.89 Median $128.82 Typical High $128.82 | Facility | None | $125.89 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $89.13 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $50.12 | Professional | 26 · Professional part | $35.48 | $48.98 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $48.98 | $79.43 | $79.43 |
BCBS Michigan Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $295.12 | Facility | None | $114.82 | $173.78 | $295.12 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $63.10 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $63.10 | $173.78 | $173.78 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $77.62 | $128.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $29.51 | $50.12 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $81.28 Typical High $165.96 | Professional | TC · Technical part | $45.71 | $81.28 | $165.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $218.78 | Facility | None | $123.03 | $204.17 | $218.78 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $74.13 | $100.00 | $125.89 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $42.66 | $54.95 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $42.66 | $56.23 | $81.28 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $74.13 | $112.20 | $204.17 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $29.51 | $46.77 | $83.18 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $64.57 Typical High $134.90 | Professional | TC · Technical part | $40.74 | $64.57 | $134.90 |
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 $89.13 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $89.13 | $104.71 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $43.65 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $51.29 | $58.88 | $85.11 |
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 $51.29 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $51.29 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $20.42 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $81.28 Typical High $100.00 | Professional | FX · Film X-ray | $56.23 | $81.28 | $100.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Where Michigan sits
The same service costs 4.4 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· 28th of 51
$123
AK $324UT $74.13
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.