How much rates vary
Facilitymedian $204 · 10th to 90th $135 to $398Professionalmedian $126 · 10th to 90th $74 to $191
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 $125.89 Typical High $162.18 | Facility | None | $125.89 | $125.89 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $114.82 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $39.81 | $46.77 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $100.00 | Professional | TC · Technical part | $74.13 | $81.28 | $100.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $134.90 Median $199.53 Typical High $346.74 | Facility | None | $134.90 | $199.53 | $346.74 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $63.10 Median $177.83 Typical High $190.55 | Professional | None (both parts) | $63.10 | $177.83 | $190.55 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $154.88 Typical High $380.19 | Professional | None (both parts) | $83.18 | $154.88 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $100.00 | Professional | 26 · Professional part | $28.84 | $50.12 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $97.72 Typical High $295.12 | Professional | TC · Technical part | $51.29 | $97.72 | $295.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $275.42 | Facility | None | $125.89 | $251.19 | $275.42 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $162.18 Typical High $251.19 | Facility | TC · Technical part | $79.43 | $162.18 | $251.19 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $144.54 | Professional | None (both parts) | $93.33 | $125.89 | $144.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $44.67 | $54.95 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $95.50 | Professional | TC · Technical part | $60.26 | $77.62 | $95.50 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $128.82 Typical High $389.05 | Professional | None (both parts) | $79.43 | $128.82 | $389.05 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $47.86 | $87.10 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $74.13 Typical High $295.12 | Professional | TC · Technical part | $47.86 | $74.13 | $295.12 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $5,495.41 | Facility | None | $1,995.26 | $2,630.27 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $102.33 | $131.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $43.65 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $181.97 | Professional | TC · Technical part | $57.54 | $79.43 | $181.97 |
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 $22.39 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $83.18 Typical High $107.15 | Professional | FX · Film X-ray | $61.66 | $83.18 | $107.15 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Where Michigan sits
The same service costs 4.0 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· 40th of 51
$126
AK $339FL $85.11
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.