How much rates vary
Facilitymedian $158 · 10th to 90th $58 to $363Professionalmedian $58 · 10th to 90th $42 to $81
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 $56.23 Median $57.54 Typical High $60.26 | Facility | None | $56.23 | $57.54 | $60.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $18.20 Median $18.62 Typical High $19.05 | Facility | 26 · Professional part | $18.20 | $18.62 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $40.74 Typical High $91.20 | Facility | TC · Technical part | $38.02 | $40.74 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $75.86 | Professional | None (both parts) | $47.86 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.20 Typical High $23.99 | Professional | 26 · Professional part | $14.45 | $18.20 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $50.12 | Professional | TC · Technical part | $32.36 | $39.81 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $41.69 | Professional | None (both parts) | $29.51 | $29.51 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.95 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $19.95 | $22.39 |
BCBS Michigan Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $144.54 | Facility | None | $56.23 | $85.11 | $144.54 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $81.28 | Professional | None (both parts) | $53.70 | $75.86 | $81.28 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $14.45 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $14.45 | $33.88 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $38.90 | $57.54 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $19.05 Typical High $37.15 | Professional | 26 · Professional part | $10.96 | $19.05 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.02 Typical High $85.11 | Professional | TC · Technical part | $25.70 | $38.02 | $85.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $57.54 Median $257.04 Typical High $371.54 | Facility | None | $57.54 | $257.04 | $371.54 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $18.20 Median $18.62 Typical High $35.48 | Facility | 26 · Professional part | $18.20 | $18.62 | $35.48 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $120.23 | Facility | TC · Technical part | $38.90 | $41.69 | $120.23 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $38.90 Median $54.95 Typical High $66.07 | Professional | None (both parts) | $38.90 | $54.95 | $66.07 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $16.22 | $21.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $44.67 | Professional | TC · Technical part | $26.30 | $38.02 | $44.67 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $52.48 Typical High $97.72 | Professional | None (both parts) | $38.02 | $52.48 | $97.72 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $17.78 Typical High $31.62 | Professional | 26 · Professional part | $11.22 | $17.78 | $31.62 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $74.13 | Professional | TC · Technical part | $25.12 | $32.36 | $74.13 |
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 $43.65 Median $48.98 Typical High $66.07 | Professional | None (both parts) | $43.65 | $48.98 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.22 Typical High $21.88 | Professional | 26 · Professional part | $14.45 | $16.22 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.11 Typical High $43.65 | Professional | TC · Technical part | $29.51 | $33.11 | $43.65 |
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 $23.99 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $23.99 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $9.55 | $11.48 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $37.15 Typical High $45.71 | Professional | FX · Film X-ray | $27.54 | $37.15 | $45.71 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Where Michigan sits
The same service costs 4.5 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· 27th of 51
$57.54
AK $148UT $33.11
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.