How much rates vary
Facilitymedian $631 · 10th to 90th $417 to $1,202Professionalmedian $479 · 10th to 90th $251 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 $426.58 Median $426.58 Typical High $457.09 | Facility | None | $426.58 | $426.58 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $436.52 Typical High $630.96 | Professional | None (both parts) | $426.58 | $436.52 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $109.65 | $109.65 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $323.59 Typical High $467.74 | Professional | TC · Technical part | $316.23 | $323.59 | $467.74 |
BCBS Michigan Setting Facility Modifier None Typical Low $416.87 Median $630.96 Typical High $1,071.52 | Facility | None | $416.87 | $630.96 | $1,071.52 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $125.89 Median $524.81 Typical High $549.54 | Professional | None (both parts) | $125.89 | $524.81 | $549.54 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $575.44 Typical High $1,000.00 | Professional | None (both parts) | $331.13 | $575.44 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $107.15 Typical High $208.93 | Professional | 26 · Professional part | $64.57 | $107.15 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $416.87 Typical High $812.83 | Professional | TC · Technical part | $263.03 | $416.87 | $812.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $436.52 Median $1,096.48 Typical High $2,344.23 | Facility | None | $436.52 | $1,096.48 | $2,344.23 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $851.14 Typical High $1,023.29 | Facility | TC · Technical part | $323.59 | $851.14 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $407.38 | $436.52 | $588.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $95.50 | $141.25 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $323.59 | $338.84 | $478.63 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $549.54 Typical High $912.01 | Professional | None (both parts) | $331.13 | $549.54 | $912.01 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $64.57 | $102.33 | $173.78 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $389.05 Typical High $741.31 | Professional | TC · Technical part | $263.03 | $389.05 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $389.05 | $512.86 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $93.33 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $302.00 | $416.87 | $524.81 |
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 $213.80 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $213.80 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $85.11 | $87.10 | $87.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $323.59 Typical High $512.86 | Professional | FX · Film X-ray | $257.04 | $323.59 | $512.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $87.10 | $87.10 | $87.10 |
Where Michigan sits
The same service costs 5.6 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· 36th of 51
$479
WY $1,380UT $245
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.