How much rates vary
Facilitymedian $234 · 10th to 90th $155 to $501Professionalmedian $155 · 10th to 90th $102 to $224
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 $154.88 Median $158.49 Typical High $165.96 | Facility | None | $154.88 | $158.49 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $109.65 Typical High $346.74 | Facility | TC · Technical part | $104.71 | $109.65 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $120.23 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $48.98 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $89.13 | $107.15 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $61.66 | $61.66 |
BCBS Setting Facility Modifier None Typical Low $154.88 Median $229.09 Typical High $398.11 | Facility | None | $154.88 | $229.09 | $398.11 |
BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $208.93 Typical High $223.87 | Professional | None (both parts) | $64.57 | $208.93 | $223.87 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $39.81 | $93.33 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $102.33 | $154.88 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $104.71 | Professional | 26 · Professional part | $30.20 | $47.86 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $112.20 Typical High $229.09 | Professional | TC · Technical part | $70.79 | $112.20 | $229.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $588.84 | Facility | None | $162.18 | $263.03 | $588.84 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $79.43 | Facility | 26 · Professional part | $48.98 | $52.48 | $79.43 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $263.03 | Facility | TC · Technical part | $107.15 | $154.88 | $263.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $102.33 | $144.54 | $173.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $41.69 | $56.23 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $102.33 | $123.03 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $102.33 | $138.04 | $257.04 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $40.74 | $72.44 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $66.07 | $102.33 | $208.93 |
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 $112.20 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $112.20 | $134.90 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $39.81 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $89.13 | $123.03 |
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 $67.61 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $102.33 Typical High $128.82 | Professional | FX · Film X-ray | $79.43 | $102.33 | $128.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Where Michigan sits
The same service costs 3.9 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· 28th of 51
$155
AK $407UT $105
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.