How much rates vary
Facilitymedian $72 · 10th to 90th $41 to $257Professionalmedian $39 · 10th to 90th $26 to $56
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 $38.02 Median $39.81 Typical High $48.98 | Facility | None | $38.02 | $39.81 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $46.77 | Professional | None (both parts) | $29.51 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $12.02 | Professional | 26 · Professional part | $7.76 | $9.77 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $32.36 | Professional | TC · Technical part | $21.88 | $28.84 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $8.51 | $8.51 | $8.51 |
BCBS Michigan Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $107.15 | Facility | None | $41.69 | $63.10 | $107.15 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $56.23 | Professional | None (both parts) | $37.15 | $52.48 | $56.23 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.80 | $13.80 | $13.80 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $37.15 Typical High $75.86 | Professional | None (both parts) | $24.55 | $37.15 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $10.72 Typical High $20.42 | Professional | 26 · Professional part | $5.89 | $10.72 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.30 Typical High $60.26 | Professional | TC · Technical part | $17.38 | $26.30 | $60.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $48.98 Median $162.18 Typical High $257.04 | Facility | None | $48.98 | $162.18 | $257.04 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $46.77 Typical High $87.10 | Facility | TC · Technical part | $27.54 | $46.77 | $87.10 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $23.99 Median $35.48 Typical High $41.69 | Professional | None (both parts) | $23.99 | $35.48 | $41.69 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.91 Typical High $11.22 | Professional | 26 · Professional part | $6.76 | $8.91 | $11.22 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.30 Typical High $30.90 | Professional | TC · Technical part | $17.38 | $26.30 | $30.90 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $23.44 | $33.11 | $58.88 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $5.89 | $9.55 | $17.38 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $47.86 | Professional | TC · Technical part | $16.98 | $23.44 | $47.86 |
United Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $295.12 | Facility | None | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $40.74 | Professional | None (both parts) | $25.70 | $30.90 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $7.94 | $8.91 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $18.20 | $21.88 | $30.20 |
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 $15.85 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $15.85 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.31 | $7.76 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $24.55 Typical High $30.90 | Professional | FX · Film X-ray | $17.78 | $24.55 | $30.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Where Michigan sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 25th of 51
$38.90
AK $95.50FL $25.70
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.