How much rates vary
Facilitymedian $76 · 10th to 90th $51 to $170Professionalmedian $50 · 10th to 90th $35 to $72
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 $50.12 Median $51.29 Typical High $112.20 | Facility | None | $50.12 | $51.29 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $38.90 Typical High $112.20 | Facility | TC · Technical part | $36.31 | $38.90 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $51.29 Typical High $63.10 | Professional | None (both parts) | $41.69 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.80 Typical High $17.78 | Professional | 26 · Professional part | $10.72 | $13.80 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $40.74 | Professional | TC · Technical part | $30.90 | $38.02 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $138.04 | Facility | None | $53.70 | $81.28 | $138.04 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $40.74 Median $67.61 Typical High $72.44 | Professional | None (both parts) | $40.74 | $67.61 | $72.44 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $34.67 | $52.48 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.45 Typical High $28.84 | Professional | 26 · Professional part | $8.32 | $14.45 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $40.74 Typical High $79.43 | Professional | TC · Technical part | $25.12 | $40.74 | $79.43 |
Health Alliance Plan Setting Facility Modifier None Typical Low $51.29 Median $93.33 Typical High $269.15 | Facility | None | $51.29 | $93.33 | $269.15 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $54.95 Typical High $85.11 | Facility | TC · Technical part | $36.31 | $54.95 | $85.11 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $35.48 | $48.98 | $57.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $14.79 | Professional | 26 · Professional part | $8.32 | $11.75 | $14.79 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $43.65 | Professional | TC · Technical part | $26.92 | $36.31 | $43.65 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $48.98 Typical High $87.10 | Professional | None (both parts) | $33.88 | $48.98 | $87.10 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.30 Typical High $21.38 | Professional | 26 · Professional part | $8.32 | $12.30 | $21.38 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $74.13 | Professional | TC · Technical part | $24.55 | $34.67 | $74.13 |
United Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $295.12 | Facility | None | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $46.77 Typical High $60.26 | Professional | None (both parts) | $41.69 | $46.77 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $10.00 | $12.02 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.88 Typical High $42.66 | Professional | TC · Technical part | $29.51 | $33.88 | $42.66 |
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 $21.38 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $21.38 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $8.51 | $10.23 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $33.11 Typical High $40.74 | Professional | FX · Film X-ray | $24.55 | $33.11 | $40.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Where Michigan sits
The same service costs 3.9 times more in Alaska 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· 35th of 51
$50.12
AK $129UT $33.11
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.