How much rates vary
Facilitymedian $724 · 10th to 90th $479 to $1,349Professionalmedian $490 · 10th to 90th $427 to $661
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $524.81 | Professional | None (both parts) | $426.58 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $125.89 | Professional | 26 · Professional part | $85.11 | $104.71 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $346.74 | $371.54 | $371.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $1,230.27 | Facility | None | $478.63 | $724.44 | $1,230.27 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $446.68 Median $575.44 Typical High $616.60 | Professional | None (both parts) | $446.68 | $575.44 | $616.60 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $630.96 Typical High $1,122.02 | Professional | None (both parts) | $371.54 | $630.96 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $61.66 | $104.71 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $933.25 | Professional | TC · Technical part | $302.00 | $478.63 | $933.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $478.63 Median $1,258.93 Typical High $1,380.38 | Facility | None | $478.63 | $1,258.93 | $1,380.38 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $1,047.13 Typical High $1,174.90 | Facility | TC · Technical part | $371.54 | $1,047.13 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $426.58 | $478.63 | $660.69 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $89.13 | $112.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $398.11 Typical High $537.03 | Professional | TC · Technical part | $346.74 | $398.11 | $537.03 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $562.34 Typical High $1,000.00 | Professional | None (both parts) | $371.54 | $562.34 | $1,000.00 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $93.33 | $169.82 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $407.38 Typical High $851.14 | Professional | TC · Technical part | $302.00 | $407.38 | $851.14 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $2,187.76 | Facility | None | $812.83 | $1,047.13 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $588.84 Typical High $707.95 | Professional | None (both parts) | $436.52 | $588.84 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $89.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $478.63 Typical High $602.56 | Professional | TC · Technical part | $354.81 | $478.63 | $602.56 |
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 $234.42 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $234.42 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $93.33 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $331.13 Typical High $524.81 | Professional | FX · Film X-ray | $295.12 | $331.13 | $524.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Where Michigan sits
The same service costs 5.5 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· 36th of 51
$501
WY $1,514UT $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.