How much rates vary
Facilitymedian $550 · 10th to 90th $363 to $1,230Professionalmedian $457 · 10th to 90th $123 to $617
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 $380.19 Median $389.05 Typical High $407.38 | Facility | None | $380.19 | $389.05 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $371.54 | $389.05 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $93.33 | $104.71 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $281.84 | $426.58 |
BCBS Michigan Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $933.25 | Facility | None | $363.08 | $549.54 | $933.25 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $123.03 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $123.03 | $338.84 | $501.19 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $562.34 Typical High $1,047.13 | Professional | None (both parts) | $316.23 | $562.34 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $61.66 | $104.71 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $407.38 Typical High $831.76 | Professional | TC · Technical part | $229.09 | $407.38 | $831.76 |
Health Alliance Plan Setting Facility Modifier None Typical Low $389.05 Median $1,202.26 Typical High $1,348.96 | Facility | None | $389.05 | $1,202.26 | $1,348.96 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $891.25 Typical High $1,148.15 | Facility | TC · Technical part | $281.84 | $891.25 | $1,148.15 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $602.56 | Professional | None (both parts) | $389.05 | $457.09 | $602.56 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $93.33 | $131.83 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $389.05 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $389.05 | $512.86 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $501.19 Typical High $1,023.29 | Professional | None (both parts) | $316.23 | $501.19 | $1,023.29 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $93.33 | $169.82 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $363.08 Typical High $812.83 | Professional | TC · Technical part | $229.09 | $363.08 | $812.83 |
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 $354.81 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $354.81 | $537.03 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $89.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $436.52 Typical High $602.56 | Professional | TC · Technical part | $269.15 | $436.52 | $602.56 |
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 $190.55 Median $194.98 Typical High $208.93 | Professional | 52 · Reduced service | $190.55 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $83.18 | Professional | 53 · Discontinued | $75.86 | $77.62 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $295.12 Typical High $512.86 | Professional | FX · Film X-ray | $229.09 | $295.12 | $512.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Where Michigan sits
The same service costs 5.6 times more in Wyoming 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· 34th of 51
$457
WY $1,230UT $219
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.