How much rates vary
Facilitymedian $891 · 10th to 90th $245 to $2,138Professionalmedian $295 · 10th to 90th $214 to $525
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 $239.88 Median $245.47 Typical High $309.03 | Facility | None | $239.88 | $245.47 | $309.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $91.20 Typical High $97.72 | Facility | 26 · Professional part | $89.13 | $91.20 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $478.63 | Facility | TC · Technical part | $151.36 | $158.49 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $501.19 | Professional | None (both parts) | $218.78 | $245.47 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $91.20 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $154.88 Typical High $354.81 | Professional | TC · Technical part | $144.54 | $154.88 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $151.36 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $67.61 | $69.18 | $100.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $204.17 Median $302.00 Typical High $524.81 | Facility | None | $204.17 | $302.00 | $524.81 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $316.23 | Professional | None (both parts) | $190.55 | $295.12 | $316.23 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
CareSource Setting Professional Modifier None (both parts) Typical Low $66.07 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $66.07 | $123.03 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $190.55 | $363.08 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $53.70 | $91.20 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $125.89 | $234.42 | $562.34 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $1,288.25 Typical High $2,238.72 | Facility | None | $251.19 | $1,288.25 | $2,238.72 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $91.20 Typical High $169.82 | Facility | 26 · Professional part | $89.13 | $91.20 | $169.82 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $363.08 Typical High $758.58 | Facility | TC · Technical part | $151.36 | $363.08 | $758.58 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $218.78 | $338.84 | $524.81 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $58.88 | $89.13 | $144.54 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $144.54 | $281.84 | $371.54 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $831.76 | Professional | None (both parts) | $190.55 | $346.74 | $831.76 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $83.18 | $144.54 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $537.03 | Professional | TC · Technical part | $125.89 | $204.17 | $537.03 |
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 $218.78 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $218.78 | $354.81 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $67.61 | $75.86 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $478.63 | Professional | TC · Technical part | $144.54 | $218.78 | $478.63 |
6 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 $120.23 Median $123.03 Typical High $158.49 | Professional | 52 · Reduced service | $120.23 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $63.10 | Professional | 53 · Discontinued | $47.86 | $48.98 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $199.53 Typical High $338.84 | Professional | FX · Film X-ray | $158.49 | $199.53 | $338.84 |
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $478.63 Median $1,288.25 Typical High $1,698.24 | Facility | ME · Imaging: follows guidelines | $478.63 | $1,288.25 | $1,698.24 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Where Michigan sits
The same service costs 24.0 times more in Vermont 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
$295
VT $2,951UT $123
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.