How much rates vary
Facilitymedian $692 · 10th to 90th $407 to $1,660Professionalmedian $468 · 10th to 90th $363 to $603
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 $389.05 Median $407.38 Typical High $501.19 | Facility | None | $389.05 | $407.38 | $501.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $870.96 | Facility | TC · Technical part | $302.00 | $389.05 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $389.05 | $398.11 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $89.13 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $302.00 | $309.03 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $436.52 Median $660.69 Typical High $1,122.02 | Facility | None | $436.52 | $660.69 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $407.38 Median $512.86 Typical High $549.54 | Professional | None (both parts) | $407.38 | $512.86 | $549.54 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $549.54 Typical High $1,000.00 | Professional | None (both parts) | $316.23 | $549.54 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $87.10 Typical High $169.82 | Professional | 26 · Professional part | $52.48 | $87.10 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $407.38 Typical High $851.14 | Professional | TC · Technical part | $239.88 | $407.38 | $851.14 |
Health Alliance Plan Setting Facility Modifier None Typical Low $407.38 Median $1,230.27 Typical High $1,819.70 | Facility | None | $407.38 | $1,230.27 | $1,819.70 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $660.69 Typical High $1,047.13 | Facility | TC · Technical part | $309.03 | $660.69 | $1,047.13 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $588.84 | Professional | None (both parts) | $363.08 | $416.87 | $588.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $77.62 | $120.23 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $363.08 Typical High $478.63 | Professional | TC · Technical part | $275.42 | $363.08 | $478.63 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $912.01 | Professional | None (both parts) | $288.40 | $467.74 | $912.01 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $77.62 | $141.25 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $346.74 Typical High $776.25 | Professional | TC · Technical part | $223.87 | $346.74 | $776.25 |
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 $389.05 Median $512.86 Typical High $616.60 | Professional | None (both parts) | $389.05 | $512.86 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $75.86 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $426.58 Typical High $549.54 | Professional | TC · Technical part | $323.59 | $426.58 | $549.54 |
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 $194.98 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $194.98 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $295.12 Typical High $512.86 | Professional | FX · Film X-ray | $223.87 | $295.12 | $512.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Where Michigan sits
The same service costs 6.3 times more in Wyoming than in Utah. 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· 29th of 51
$479
WY $1,349UT $214
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.