How much rates vary
Facilitymedian $851 · 10th to 90th $562 to $2,344Professionalmedian $479 · 10th to 90th $240 to $1,479
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $575.44 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $190.55 Typical High $199.53 | Professional | 26 · Professional part | $173.78 | $190.55 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $562.34 | $707.95 | $707.95 |
BCBS Michigan Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $1,445.44 | Facility | None | $562.34 | $831.76 | $1,445.44 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $223.87 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $223.87 | $239.88 | $257.04 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,380.38 Typical High $3,090.30 | Professional | None (both parts) | $602.56 | $1,380.38 | $3,090.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $186.21 Typical High $416.87 | Professional | 26 · Professional part | $125.89 | $186.21 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $1,230.27 Typical High $2,951.21 | Professional | TC · Technical part | $616.60 | $1,230.27 | $2,951.21 |
Health Alliance Plan Setting Facility Modifier None Typical Low $676.08 Median $3,467.37 Typical High $3,801.89 | Facility | None | $676.08 | $3,467.37 | $3,801.89 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $602.56 Median $1,862.09 Typical High $3,311.31 | Facility | TC · Technical part | $602.56 | $1,862.09 | $3,311.31 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,288.25 Typical High $1,698.24 | Professional | None (both parts) | $660.69 | $1,288.25 | $1,698.24 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $204.17 Typical High $223.87 | Professional | 26 · Professional part | $154.88 | $204.17 | $223.87 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $1,122.02 Typical High $1,513.56 | Professional | TC · Technical part | $549.54 | $1,122.02 | $1,513.56 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,258.93 Typical High $2,511.89 | Professional | None (both parts) | $407.38 | $1,258.93 | $2,511.89 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $346.74 | Professional | 26 · Professional part | $125.89 | $158.49 | $346.74 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $1,174.90 Typical High $2,570.40 | Professional | TC · Technical part | $389.05 | $1,174.90 | $2,570.40 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,548.82 | Facility | None | $562.34 | $724.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $776.25 | Professional | None (both parts) | $316.23 | $446.68 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $229.09 | Professional | 26 · Professional part | $120.23 | $165.96 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $575.44 | Professional | TC · Technical part | $194.98 | $263.03 | $575.44 |
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 $288.40 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $288.40 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $114.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $467.74 Typical High $724.44 | Professional | FX · Film X-ray | $295.12 | $467.74 | $724.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Where Michigan sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 45th of 51
$513
WY $3,467HI $282
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.