How much rates vary
Facilitymedian $479 · 10th to 90th $316 to $1,096Professionalmedian $407 · 10th to 90th $295 to $562
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 $338.84 Median $338.84 Typical High $354.81 | Facility | None | $338.84 | $338.84 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $338.84 | $338.84 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $87.10 | $97.72 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $234.42 | $245.47 | $371.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $316.23 Median $467.74 Typical High $812.83 | Facility | None | $316.23 | $467.74 | $812.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $295.12 | $389.05 | $436.52 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $512.86 Typical High $977.24 | Professional | None (both parts) | $281.84 | $512.86 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $97.72 Typical High $190.55 | Professional | 26 · Professional part | $57.54 | $97.72 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $199.53 | $363.08 | $724.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $354.81 Median $1,071.52 Typical High $1,202.26 | Facility | None | $354.81 | $1,071.52 | $1,202.26 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $758.58 Typical High $1,000.00 | Facility | TC · Technical part | $245.47 | $758.58 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $346.74 | $407.38 | $549.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $85.11 | $120.23 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $346.74 Typical High $457.09 | Professional | TC · Technical part | $245.47 | $346.74 | $457.09 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $478.63 Typical High $977.24 | Professional | None (both parts) | $275.42 | $478.63 | $977.24 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $57.54 | $87.10 | $158.49 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $331.13 Typical High $691.83 | Professional | TC · Technical part | $199.53 | $331.13 | $691.83 |
United Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $977.24 | Facility | None | $354.81 | $467.74 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $467.74 Typical High $645.65 | Professional | None (both parts) | $316.23 | $467.74 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $83.18 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $229.09 | $380.19 | $549.54 |
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 $165.96 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $269.15 Typical High $467.74 | Professional | FX · Film X-ray | $199.53 | $269.15 | $467.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Where Michigan sits
The same service costs 5.6 times more in Wyoming 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· 35th of 51
$407
WY $1,072UT $191
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.