How much rates vary
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 $346.74 Median $354.81 Typical High $446.68 | Facility | None | $346.74 | $354.81 | $446.68 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $446.68 Typical High $776.25 | Facility | TC · Technical part | $239.88 | $446.68 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $354.81 Typical High $524.81 | Professional | None (both parts) | $316.23 | $354.81 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $147.91 | Professional | 26 · Professional part | $87.10 | $109.65 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $223.87 | $245.47 | $371.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $316.23 Median $467.74 Typical High $812.83 | Facility | None | $316.23 | $467.74 | $812.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $281.84 Median $398.11 Typical High $457.09 | Professional | None (both parts) | $281.84 | $398.11 | $457.09 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $501.19 Typical High $1,023.29 | Professional | None (both parts) | $275.42 | $501.19 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $109.65 Typical High $208.93 | Professional | 26 · Professional part | $64.57 | $109.65 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $707.95 | Professional | TC · Technical part | $194.98 | $346.74 | $707.95 |
Health Alliance Plan Setting Facility Modifier None Typical Low $354.81 Median $831.76 Typical High $1,258.93 | Facility | None | $354.81 | $831.76 | $1,258.93 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $602.56 Typical High $1,023.29 | Facility | TC · Technical part | $245.47 | $602.56 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $575.44 | Professional | None (both parts) | $316.23 | $426.58 | $575.44 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $75.86 | $100.00 | $141.25 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $467.74 | Professional | TC · Technical part | $223.87 | $354.81 | $467.74 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $1,023.29 | Professional | None (both parts) | $263.03 | $478.63 | $1,023.29 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $190.55 | Professional | 26 · Professional part | $64.57 | $104.71 | $190.55 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $323.59 Typical High $691.83 | Professional | TC · Technical part | $194.98 | $323.59 | $691.83 |
United Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $977.24 | Facility | None | $354.81 | $467.74 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $316.23 | $478.63 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $100.00 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $562.34 | Professional | TC · Technical part | $229.09 | $346.74 | $562.34 |
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 $173.78 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $173.78 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $69.18 | $70.79 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $281.84 Typical High $457.09 | Professional | FX · Film X-ray | $199.53 | $281.84 | $457.09 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $177.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Where Michigan sits
The same service costs 5.9 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· 38th of 51
$398
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.