How much rates vary
Facilitymedian $1,000 · 10th to 90th $389 to $3,631Professionalmedian $490 · 10th to 90th $331 to $708
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 $407.38 Median $407.38 Typical High $512.86 | Facility | None | $407.38 | $407.38 | $512.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $141.25 Median $144.54 Typical High $151.36 | Facility | 26 · Professional part | $141.25 | $144.54 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $275.42 Typical High $851.14 | Facility | TC · Technical part | $263.03 | $275.42 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $407.38 Typical High $588.84 | Professional | None (both parts) | $363.08 | $407.38 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $112.20 | $141.25 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $269.15 Typical High $416.87 | Professional | TC · Technical part | $251.19 | $269.15 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $239.88 | $239.88 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $107.15 | $107.15 | $154.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $354.81 Median $524.81 Typical High $912.01 | Facility | None | $354.81 | $524.81 | $912.01 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $489.78 Typical High $524.81 | Professional | None (both parts) | $162.18 | $489.78 | $524.81 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $102.33 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $102.33 | $213.80 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $602.56 Typical High $1,258.93 | Professional | None (both parts) | $323.59 | $602.56 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $138.04 Typical High $269.15 | Professional | 26 · Professional part | $81.28 | $138.04 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $1,047.13 | Professional | TC · Technical part | $218.78 | $398.11 | $1,047.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $407.38 Median $1,584.89 Typical High $4,073.80 | Facility | None | $407.38 | $1,584.89 | $4,073.80 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $141.25 Median $144.54 Typical High $269.15 | Facility | 26 · Professional part | $141.25 | $144.54 | $269.15 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $645.65 Typical High $1,202.26 | Facility | TC · Technical part | $263.03 | $645.65 | $1,202.26 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $363.08 Median $501.19 Typical High $676.08 | Professional | None (both parts) | $363.08 | $501.19 | $676.08 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $141.25 Typical High $186.21 | Professional | 26 · Professional part | $93.33 | $141.25 | $186.21 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $371.54 Typical High $549.54 | Professional | TC · Technical part | $251.19 | $371.54 | $549.54 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $575.44 Typical High $1,230.27 | Professional | None (both parts) | $309.03 | $575.44 | $1,230.27 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $131.83 Typical High $234.42 | Professional | 26 · Professional part | $81.28 | $131.83 | $234.42 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $363.08 Typical High $933.25 | Professional | TC · Technical part | $218.78 | $363.08 | $933.25 |
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 $371.54 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $371.54 | $588.84 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $107.15 | $120.23 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $380.19 Typical High $812.83 | Professional | TC · Technical part | $257.04 | $380.19 | $812.83 |
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 $199.53 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $81.28 | $81.28 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $295.12 Typical High $512.86 | Professional | FX · Film X-ray | $218.78 | $295.12 | $512.86 |
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $346.74 Median $2,511.89 Typical High $3,090.30 | Facility | ME · Imaging: follows guidelines | $346.74 | $2,511.89 | $3,090.30 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
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· 32nd of 51
$490
WY $1,288UT $204
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.