How much rates vary
Facilitymedian $468 · 10th to 90th $324 to $1,230Professionalmedian $417 · 10th to 90th $288 to $603
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 $338.84 Median $346.74 Typical High $436.52 | Facility | None | $338.84 | $346.74 | $436.52 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $758.58 | Facility | TC · Technical part | $234.42 | $363.08 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $338.84 | $346.74 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $93.33 | $104.71 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $234.42 | $239.88 | $371.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $794.33 | Facility | None | $309.03 | $467.74 | $794.33 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $446.68 | Professional | None (both parts) | $288.40 | $416.87 | $446.68 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $512.86 Typical High $1,000.00 | Professional | None (both parts) | $281.84 | $512.86 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $102.33 Typical High $204.17 | Professional | 26 · Professional part | $61.66 | $102.33 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $691.83 | Professional | TC · Technical part | $194.98 | $354.81 | $691.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $346.74 Median $1,122.02 Typical High $1,819.70 | Facility | None | $346.74 | $1,122.02 | $1,819.70 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $562.34 Typical High $1,023.29 | Facility | TC · Technical part | $239.88 | $562.34 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $346.74 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $346.74 | $416.87 | $562.34 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $93.33 | $134.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $467.74 | Professional | TC · Technical part | $239.88 | $346.74 | $467.74 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $275.42 | $478.63 | $1,000.00 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $95.50 | $169.82 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $331.13 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $331.13 | $676.08 |
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 $489.78 Typical High $645.65 | Professional | None (both parts) | $316.23 | $489.78 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $89.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $229.09 | $380.19 | $549.54 |
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 $169.82 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $69.18 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $275.42 Typical High $457.09 | Professional | FX · Film X-ray | $199.53 | $275.42 | $457.09 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Where Michigan sits
The same service costs 5.6 times more in Wyoming than in Texas. 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
$417
WY $1,072TX $191
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.