How much rates vary
Facilitymedian $195 · 10th to 90th $110 to $389Professionalmedian $110 · 10th to 90th $76 to $155
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 $109.65 Median $109.65 Typical High $138.04 | Facility | None | $109.65 | $109.65 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $79.43 Typical High $186.21 | Facility | TC · Technical part | $75.86 | $79.43 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $91.20 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $22.39 | $33.88 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $100.00 | Professional | TC · Technical part | $63.10 | $77.62 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $28.18 | $42.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $281.84 | Facility | None | $109.65 | $162.18 | $281.84 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $154.88 | Professional | None (both parts) | $102.33 | $144.54 | $154.88 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.92 Median $66.07 Typical High $117.49 | Professional | None (both parts) | $26.92 | $66.07 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $72.44 | $107.15 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $34.67 Typical High $70.79 | Professional | 26 · Professional part | $20.42 | $34.67 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $169.82 | Professional | TC · Technical part | $50.12 | $79.43 | $169.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $117.49 Median $234.42 Typical High $389.05 | Facility | None | $117.49 | $234.42 | $389.05 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $53.70 | Facility | 26 · Professional part | $33.88 | $34.67 | $53.70 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $245.47 | Facility | TC · Technical part | $77.62 | $100.00 | $245.47 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $123.03 | Professional | None (both parts) | $72.44 | $102.33 | $123.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $27.54 Typical High $37.15 | Professional | 26 · Professional part | $18.20 | $27.54 | $37.15 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $89.13 | Professional | TC · Technical part | $54.95 | $75.86 | $89.13 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $67.61 | $97.72 | $181.97 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $18.62 | $33.88 | $56.23 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $147.91 | Professional | TC · Technical part | $44.67 | $64.57 | $147.91 |
United Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $489.78 | Facility | None | $181.97 | $234.42 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $77.62 | $93.33 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $26.92 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $56.23 | $63.10 | $87.10 |
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 $47.86 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $72.44 Typical High $89.13 | Professional | FX · Film X-ray | $54.95 | $72.44 | $89.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Where Michigan sits
The same service costs 3.8 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
$110
AK $282UT $74.13
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.