How much rates vary
Facilitymedian $129 · 10th to 90th $40 to $302Professionalmedian $38 · 10th to 90th $26 to $55
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 $38.02 Median $38.90 Typical High $48.98 | Facility | None | $38.02 | $38.90 | $48.98 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.88 | Facility | 26 · Professional part | $12.30 | $12.30 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $26.92 Typical High $61.66 | Facility | TC · Technical part | $25.70 | $26.92 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $50.12 | Professional | None (both parts) | $29.51 | $38.90 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $16.22 | Professional | 26 · Professional part | $10.00 | $12.30 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.92 Typical High $32.36 | Professional | TC · Technical part | $19.95 | $26.92 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $27.54 Typical High $30.90 | Professional | None (both parts) | $26.30 | $27.54 | $30.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $15.14 | Professional | 26 · Professional part | $9.77 | $10.23 | $15.14 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $21.38 Typical High $22.39 | Professional | TC · Technical part | $15.14 | $21.38 | $22.39 |
BCBS Michigan Setting Facility Modifier None Typical Low $38.02 Median $56.23 Typical High $97.72 | Facility | None | $38.02 | $56.23 | $97.72 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $33.88 Median $51.29 Typical High $54.95 | Professional | None (both parts) | $33.88 | $51.29 | $54.95 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $16.60 | $16.60 | $16.60 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $38.02 | $38.02 | $38.02 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.77 Median $22.91 Typical High $41.69 | Professional | None (both parts) | $9.77 | $22.91 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $36.31 Typical High $72.44 | Professional | None (both parts) | $25.12 | $36.31 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.88 Typical High $25.70 | Professional | 26 · Professional part | $7.59 | $12.88 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $24.55 Typical High $56.23 | Professional | TC · Technical part | $16.60 | $24.55 | $56.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $58.88 Median $147.91 Typical High $302.00 | Facility | None | $58.88 | $147.91 | $302.00 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $24.55 | Facility | 26 · Professional part | $12.30 | $12.30 | $24.55 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $239.88 | Facility | TC · Technical part | $26.30 | $43.65 | $239.88 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $23.44 Median $37.15 Typical High $63.10 | Professional | None (both parts) | $23.44 | $37.15 | $63.10 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.30 Typical High $35.48 | Professional | 26 · Professional part | $8.51 | $12.30 | $35.48 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.91 Typical High $34.67 | Professional | TC · Technical part | $14.79 | $22.91 | $34.67 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $24.55 | $34.67 | $57.54 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.30 Typical High $21.38 | Professional | 26 · Professional part | $8.13 | $12.30 | $21.38 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.38 Typical High $41.69 | Professional | TC · Technical part | $15.49 | $21.38 | $41.69 |
United Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $245.47 | Facility | None | $89.13 | $117.49 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $42.66 | Professional | None (both parts) | $28.18 | $31.62 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $15.14 | Professional | 26 · Professional part | $10.00 | $11.22 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $28.18 | Professional | TC · Technical part | $17.78 | $20.89 | $28.18 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 59 · Distinct service | $30.90 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier FY · Cassette-based X-ray Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | FY · Cassette-based X-ray | $32.36 | $32.36 | $32.36 |
Where Michigan sits
The same service costs 17.0 times more in Vermont than in Florida. 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· 26th of 51
$38.90
VT $447FL $26.30
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.