How much rates vary
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 $851.14 Median $870.96 Typical High $933.25 | Facility | None | $851.14 | $870.96 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $758.58 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $151.36 Typical High $154.88 | Professional | 26 · Professional part | $134.90 | $151.36 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $741.31 Typical High $741.31 | Professional | TC · Technical part | $630.96 | $741.31 | $741.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $630.96 | Facility | None | $245.47 | $371.54 | $630.96 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $165.96 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $812.83 Typical High $1,621.81 | Professional | None (both parts) | $426.58 | $812.83 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $147.91 Typical High $295.12 | Professional | 26 · Professional part | $89.13 | $147.91 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $707.95 Typical High $1,348.96 | Professional | TC · Technical part | $467.74 | $707.95 | $1,348.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $354.81 Median $1,584.89 Typical High $1,778.28 | Facility | None | $354.81 | $1,584.89 | $1,778.28 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $691.83 Median $1,479.11 Typical High $2,187.76 | Facility | TC · Technical part | $691.83 | $1,479.11 | $2,187.76 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $602.56 Median $758.58 Typical High $851.14 | Professional | None (both parts) | $602.56 | $758.58 | $851.14 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $165.96 | Professional | 26 · Professional part | $104.71 | $138.04 | $165.96 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $588.84 Typical High $691.83 | Professional | TC · Technical part | $501.19 | $588.84 | $691.83 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $707.95 Typical High $1,288.25 | Professional | None (both parts) | $398.11 | $707.95 | $1,288.25 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $257.04 | Professional | 26 · Professional part | $87.10 | $131.83 | $257.04 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $602.56 Typical High $1,174.90 | Professional | TC · Technical part | $416.87 | $602.56 | $1,174.90 |
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 $426.58 Median $602.56 Typical High $794.33 | Professional | None (both parts) | $426.58 | $602.56 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $89.13 | $128.82 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $457.09 Typical High $630.96 | Professional | TC · Technical part | $331.13 | $457.09 | $630.96 |
3 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 FX · Film X-ray Typical Low $295.12 Median $549.54 Typical High $933.25 | Professional | FX · Film X-ray | $295.12 | $549.54 | $933.25 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $257.04 Median $371.54 Typical High $630.96 | Facility | 50 · Both sides | $257.04 | $371.54 | $630.96 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 50 · Both sides | $190.55 | $190.55 | $190.55 |
Where Michigan sits
The same service costs 7.4 times more in Alaska than in Washington. 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· 41st of 51
$603
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.