How much rates vary
Facilitymedian $68 · 10th to 90th $39 to $240Professionalmedian $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 TC · Technical part Typical Low $26.92 Median $28.84 Typical High $85.11 | Facility | TC · Technical part | $26.92 | $28.84 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.90 Typical High $48.98 | Professional | None (both parts) | $31.62 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $8.91 | $10.96 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $33.88 | Professional | TC · Technical part | $22.39 | $27.54 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 26 · Professional part | $9.12 | $9.12 | $9.12 |
BCBS Setting Facility Modifier None Typical Low $38.90 Median $58.88 Typical High $100.00 | Facility | None | $38.90 | $58.88 | $100.00 |
BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $54.95 | Professional | None (both parts) | $34.67 | $51.29 | $54.95 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $39.81 Typical High $72.44 | Professional | None (both parts) | $25.70 | $39.81 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $11.75 Typical High $23.44 | Professional | 26 · Professional part | $6.76 | $11.75 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.84 Typical High $58.88 | Professional | TC · Technical part | $17.78 | $28.84 | $58.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $39.81 Median $131.83 Typical High $257.04 | Facility | None | $39.81 | $131.83 | $257.04 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $64.57 | Facility | TC · Technical part | $26.92 | $38.02 | $64.57 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $42.66 | Professional | None (both parts) | $25.70 | $36.31 | $42.66 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $13.18 | Professional | 26 · Professional part | $7.94 | $10.23 | $13.18 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.30 Typical High $30.90 | Professional | TC · Technical part | $17.78 | $26.30 | $30.90 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $25.12 | $36.31 | $63.10 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $6.92 | $11.22 | $19.05 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $50.12 | Professional | TC · Technical part | $17.38 | $23.99 | $50.12 |
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 $30.20 Median $33.88 Typical High $44.67 | Professional | None (both parts) | $30.20 | $33.88 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $13.80 | Professional | 26 · Professional part | $9.12 | $10.47 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $29.51 | Professional | TC · Technical part | $20.42 | $22.91 | $29.51 |
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 $16.22 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $16.22 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.46 | $7.76 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $24.55 Typical High $30.20 | Professional | FX · Film X-ray | $18.20 | $24.55 | $30.20 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Where Michigan sits
The same service costs 3.5 times more in Alaska 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· 32nd of 51
$38.02
AK $95.50FL $26.92
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.