How much rates vary
Facilitymedian $282 · 10th to 90th $178 to $1,259Professionalmedian $302 · 10th to 90th $240 to $1,549
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $288.40 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $162.18 | $208.93 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $223.87 | $229.09 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $162.18 | $162.18 | $162.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $177.83 Median $269.15 Typical High $457.09 | Facility | None | $177.83 | $269.15 | $457.09 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $229.09 | $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 $912.01 Median $1,584.89 Typical High $3,162.28 | Professional | None (both parts) | $912.01 | $1,584.89 | $3,162.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $190.55 Typical High $398.11 | Professional | 26 · Professional part | $114.82 | $190.55 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,445.44 Typical High $2,884.03 | Professional | TC · Technical part | $794.33 | $1,445.44 | $2,884.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $275.42 Median $3,235.94 Typical High $3,467.37 | Facility | None | $275.42 | $3,235.94 | $3,467.37 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $660.69 Typical High $3,090.30 | Facility | TC · Technical part | $213.80 | $660.69 | $3,090.30 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,174.90 Typical High $1,659.59 | Professional | None (both parts) | $275.42 | $1,174.90 | $1,659.59 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $173.78 Typical High $213.80 | Professional | 26 · Professional part | $131.83 | $173.78 | $213.80 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $1,047.13 Typical High $1,479.11 | Professional | TC · Technical part | $213.80 | $1,047.13 | $1,479.11 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,548.82 Typical High $2,630.27 | Professional | None (both parts) | $851.14 | $1,548.82 | $2,630.27 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $173.78 Typical High $331.13 | Professional | 26 · Professional part | $114.82 | $173.78 | $331.13 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,288.25 Typical High $2,454.71 | Professional | TC · Technical part | $707.95 | $1,288.25 | $2,454.71 |
United Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $489.78 | Facility | None | $181.97 | $234.42 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $354.81 | $426.58 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $169.82 Typical High $229.09 | Professional | 26 · Professional part | $147.91 | $169.82 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $257.04 | $478.63 |
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 $144.54 Median $151.36 Typical High $169.82 | Professional | 52 · Reduced service | $144.54 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $67.61 | Professional | 53 · Discontinued | $57.54 | $60.26 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $234.42 Typical High $426.58 | Professional | FX · Film X-ray | $173.78 | $234.42 | $426.58 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Where Michigan sits
The same service costs 13.5 times more in Wyoming 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· 48th of 51
$302
WY $3,715WA $275
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.