How much rates vary
Facilitymedian $891 · 10th to 90th $437 to $2,399Professionalmedian $525 · 10th to 90th $398 to $832
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 $436.52 Median $436.52 Typical High $467.74 | Facility | None | $436.52 | $436.52 | $467.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $346.74 Typical High $1,023.29 | Facility | TC · Technical part | $323.59 | $346.74 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $398.11 | $436.52 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $109.65 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $457.09 | Professional | TC · Technical part | $309.03 | $331.13 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $1,096.48 | Facility | None | $426.58 | $645.65 | $1,096.48 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $524.81 Typical High $562.34 | Professional | None (both parts) | $134.90 | $524.81 | $562.34 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $676.08 Typical High $1,348.96 | Professional | None (both parts) | $354.81 | $676.08 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $208.93 | Professional | 26 · Professional part | $64.57 | $104.71 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $512.86 Typical High $1,023.29 | Professional | TC · Technical part | $263.03 | $512.86 | $1,023.29 |
Health Alliance Plan Setting Facility Modifier None Typical Low $457.09 Median $1,584.89 Typical High $2,884.03 | Facility | None | $457.09 | $1,584.89 | $2,884.03 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $112.20 Typical High $204.17 | Facility | 26 · Professional part | $109.65 | $112.20 | $204.17 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $660.69 Typical High $1,621.81 | Facility | TC · Technical part | $331.13 | $660.69 | $1,621.81 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $398.11 Median $616.60 Typical High $831.76 | Professional | None (both parts) | $398.11 | $616.60 | $831.76 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $97.72 | $141.25 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $549.54 Typical High $724.44 | Professional | TC · Technical part | $309.03 | $549.54 | $724.44 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $616.60 Typical High $1,348.96 | Professional | None (both parts) | $354.81 | $616.60 | $1,348.96 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $64.57 | $97.72 | $173.78 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $457.09 Typical High $977.24 | Professional | TC · Technical part | $263.03 | $457.09 | $977.24 |
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 $398.11 Median $707.95 Typical High $977.24 | Professional | None (both parts) | $398.11 | $707.95 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $93.33 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $602.56 Typical High $870.96 | Professional | TC · Technical part | $302.00 | $602.56 | $870.96 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $87.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $323.59 Typical High $512.86 | Professional | FX · Film X-ray | $263.03 | $323.59 | $512.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
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· 33rd of 51
$525
WY $1,380UT $245
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.