How much rates vary
Facilitymedian $174 · 10th to 90th $115 to $331Professionalmedian $132 · 10th to 90th $105 to $174
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 $125.89 Median $128.82 Typical High $128.82 | Facility | None | $125.89 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $42.66 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $70.79 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
BCBS Michigan Setting Facility Modifier None Typical Low $114.82 Median $169.82 Typical High $295.12 | Facility | None | $114.82 | $169.82 | $295.12 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $100.00 | $173.78 | $173.78 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $87.10 | $158.49 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $53.70 Typical High $109.65 | Professional | 26 · Professional part | $31.62 | $53.70 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $93.33 Typical High $213.80 | Professional | TC · Technical part | $50.12 | $93.33 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $131.83 Median $295.12 Typical High $323.59 | Facility | None | $131.83 | $295.12 | $323.59 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $165.96 | Professional | None (both parts) | $109.65 | $131.83 | $165.96 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $35.48 | $47.86 | $58.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $107.15 | Professional | TC · Technical part | $74.13 | $79.43 | $107.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $128.82 Typical High $281.84 | Professional | None (both parts) | $87.10 | $128.82 | $281.84 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $50.12 | $89.13 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $204.17 | Professional | TC · Technical part | $52.48 | $81.28 | $204.17 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $2,187.76 | Facility | None | $812.83 | $1,047.13 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $107.15 | $147.91 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $46.77 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $147.91 | Professional | TC · Technical part | $60.26 | $95.50 | $147.91 |
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 $56.23 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $56.23 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $83.18 Typical High $107.15 | Professional | FX · Film X-ray | $60.26 | $83.18 | $107.15 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Where Michigan sits
The same service costs 4.6 times more in Alaska 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· 38th of 51
$132
AK $347UT $75.86
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.