How much rates vary
Facilitymedian $263 · 10th to 90th $170 to $479Professionalmedian $170 · 10th to 90th $110 to $229
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 $169.82 Median $173.78 Typical High $218.78 | Facility | None | $169.82 | $173.78 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $371.54 | Facility | TC · Technical part | $112.20 | $120.23 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $131.83 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $56.23 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $117.49 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $48.98 | $70.79 |
BCBS Michigan Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $426.58 | Facility | None | $165.96 | $251.19 | $426.58 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $70.79 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $70.79 | $229.09 | $229.09 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $169.82 Typical High $354.81 | Professional | None (both parts) | $112.20 | $169.82 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $112.20 | Professional | 26 · Professional part | $32.36 | $51.29 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $269.15 | Professional | TC · Technical part | $75.86 | $125.89 | $269.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $295.12 Typical High $478.63 | Facility | None | $173.78 | $295.12 | $478.63 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $288.40 | Facility | TC · Technical part | $117.49 | $165.96 | $288.40 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $125.89 | $165.96 | $204.17 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $41.69 | $60.26 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $97.72 | $120.23 | $158.49 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $112.20 | $162.18 | $309.03 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $46.77 Typical High $81.28 | Professional | 26 · Professional part | $27.54 | $46.77 | $81.28 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $245.47 | Professional | TC · Technical part | $72.44 | $117.49 | $245.47 |
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 $131.83 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $131.83 | $147.91 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $40.74 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $141.25 | Professional | TC · Technical part | $95.50 | $109.65 | $141.25 |
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 $74.13 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $74.13 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $34.67 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $112.20 Typical High $141.25 | Professional | FX · Film X-ray | $83.18 | $112.20 | $141.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Where Michigan sits
The same service costs 4.3 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
$174
AK $447UT $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.