How much rates vary
Facilitymedian $347 · 10th to 90th $174 to $724Professionalmedian $145 · 10th to 90th $87 to $407
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $33.88 | Professional | 26 · Professional part | $26.92 | $31.62 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $91.20 | $112.20 | $112.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $181.97 Median $363.08 Typical High $724.44 | Facility | None | $181.97 | $363.08 | $724.44 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $43.65 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $43.65 | $204.17 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $89.13 | $134.90 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $20.42 | $33.88 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $251.19 | Professional | TC · Technical part | $69.18 | $100.00 | $251.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $257.04 | Facility | None | $147.91 | $234.42 | $257.04 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $87.10 | $117.49 | $147.91 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $30.20 | $37.15 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $87.10 | $117.49 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $81.28 | $120.23 | $234.42 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $20.42 | $30.90 | $57.54 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $91.20 | $177.83 |
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 $91.20 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $91.20 | $117.49 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $29.51 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $120.23 | Professional | TC · Technical part | $66.07 | $85.11 | $120.23 |
8 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 $61.66 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $61.66 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $28.84 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $93.33 Typical High $123.03 | Professional | FX · Film X-ray | $67.61 | $93.33 | $123.03 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $363.08 Median $524.81 Typical High $891.25 | Facility | 50 · Both sides | $363.08 | $524.81 | $891.25 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $173.78 Typical High $186.21 | Professional | 50 · Both sides | $112.20 | $173.78 | $186.21 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $173.78 Typical High $263.03 | Professional | 50 · Both sides | $112.20 | $173.78 | $263.03 |
Where Michigan sits
The same service costs 3.9 times more in Alaska than in New York. 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· 26th of 51
$145
AK $380NY $97.72
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.