How much rates vary
Facilitymedian $724 · 10th to 90th $141 to $1,349Professionalmedian $56 · 10th to 90th $34 to $631
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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $446.68 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $26.30 | Professional | 26 · Professional part | $21.38 | $25.70 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $489.78 | $645.65 | $645.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $1,445.44 | Facility | None | $562.34 | $831.76 | $1,445.44 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.88 Typical High $35.48 | Professional | None (both parts) | $31.62 | $33.88 | $35.48 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $79.43 Typical High $134.90 | Professional | None (both parts) | $42.66 | $79.43 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $16.22 | $27.54 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $47.86 Typical High $97.72 | Professional | TC · Technical part | $26.92 | $47.86 | $97.72 |
Health Alliance Plan Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $562.34 | Facility | None | $120.23 | $141.25 | $562.34 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $47.86 Median $64.57 Typical High $562.34 | Professional | None (both parts) | $47.86 | $64.57 | $562.34 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $19.50 | $25.70 | $30.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $549.54 | Professional | TC · Technical part | $28.84 | $38.90 | $549.54 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $79.43 Typical High $128.82 | Professional | None (both parts) | $43.65 | $79.43 | $128.82 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $16.60 | $26.30 | $47.86 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $50.12 Typical High $87.10 | Professional | TC · Technical part | $26.92 | $50.12 | $87.10 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,548.82 | Facility | None | $562.34 | $724.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $67.61 | $457.09 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $32.36 | Professional | 26 · Professional part | $21.38 | $23.99 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $45.71 | $436.52 | $741.31 |
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 $223.87 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $223.87 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $89.13 | $128.82 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $389.05 Typical High $588.84 | Professional | FX · Film X-ray | $223.87 | $389.05 | $588.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Where Michigan sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 51st of 51
$58.88
CO $661MI $58.88
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.