How much rates vary
Facilitymedian $631 · 10th to 90th $263 to $2,042Professionalmedian $355 · 10th to 90th $245 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 $275.42 Median $288.40 Typical High $371.54 | Facility | None | $275.42 | $288.40 | $371.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $213.80 Typical High $645.65 | Facility | TC · Technical part | $194.98 | $213.80 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $263.03 | $288.40 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $89.13 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $190.55 | $204.17 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $169.82 | $169.82 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $67.61 | $67.61 | $97.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $263.03 Median $398.11 Typical High $676.08 | Facility | None | $263.03 | $398.11 | $676.08 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $354.81 Typical High $380.19 | Professional | None (both parts) | $102.33 | $354.81 | $380.19 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $64.57 | $158.49 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $239.88 | $446.68 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $52.48 | $85.11 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $169.82 | $309.03 | $602.56 |
Health Alliance Plan Setting Facility Modifier None Typical Low $275.42 Median $933.25 Typical High $2,137.96 | Facility | None | $275.42 | $933.25 | $2,137.96 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $169.82 | Facility | 26 · Professional part | $85.11 | $91.20 | $169.82 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $380.19 Typical High $933.25 | Facility | TC · Technical part | $204.17 | $380.19 | $933.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $263.03 | $380.19 | $537.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $81.28 | $141.25 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $316.23 | $426.58 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $239.88 | $416.87 | $831.76 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $81.28 | $144.54 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $295.12 Typical High $588.84 | Professional | TC · Technical part | $169.82 | $295.12 | $588.84 |
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 $269.15 Median $446.68 Typical High $575.44 | Professional | None (both parts) | $269.15 | $446.68 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $75.86 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $194.98 | $354.81 | $501.19 |
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 $144.54 Median $144.54 Typical High $186.21 | Professional | 52 · Reduced service | $144.54 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $74.13 | Professional | 53 · Discontinued | $57.54 | $58.88 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $245.47 Typical High $407.38 | Professional | FX · Film X-ray | $190.55 | $245.47 | $407.38 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Where Michigan sits
The same service costs 6.0 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· 39th of 51
$355
WY $912UT $151
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.