How much rates vary
Facilitymedian $72 · 10th to 90th $48 to $123Professionalmedian $44 · 10th to 90th $32 to $60
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 $41.69 Median $42.66 Typical High $42.66 | Facility | None | $41.69 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $36.31 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $7.94 | $9.55 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $28.18 | $33.88 | $33.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $47.86 Median $70.79 Typical High $123.03 | Facility | None | $47.86 | $70.79 | $123.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $60.26 | Professional | None (both parts) | $41.69 | $56.23 | $60.26 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $13.18 | $13.18 | $13.18 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $42.66 Typical High $87.10 | Professional | None (both parts) | $28.84 | $42.66 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $10.47 Typical High $20.42 | Professional | 26 · Professional part | $5.89 | $10.47 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.88 Typical High $72.44 | Professional | TC · Technical part | $22.91 | $33.88 | $72.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $42.66 Median $87.10 Typical High $95.50 | Facility | None | $42.66 | $87.10 | $95.50 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $50.12 | Professional | None (both parts) | $32.36 | $42.66 | $50.12 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.55 Typical High $11.75 | Professional | 26 · Professional part | $7.41 | $9.55 | $11.75 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $37.15 | Professional | TC · Technical part | $25.12 | $33.11 | $37.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.90 Typical High $77.62 | Professional | None (both parts) | $28.84 | $38.90 | $77.62 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.77 Typical High $18.62 | Professional | 26 · Professional part | $5.89 | $9.77 | $18.62 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $64.57 | Professional | TC · Technical part | $22.39 | $28.84 | $64.57 |
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 $33.88 Median $37.15 Typical High $50.12 | Professional | None (both parts) | $33.88 | $37.15 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $7.94 | $8.91 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.84 Typical High $38.02 | Professional | TC · Technical part | $25.70 | $28.84 | $38.02 |
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 $18.20 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $18.20 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $7.24 | $8.71 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $27.54 Typical High $35.48 | Professional | FX · Film X-ray | $22.39 | $27.54 | $35.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Where Michigan sits
The same service costs 3.7 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· 28th of 51
$43.65
AK $110FL $29.51
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.