How much rates vary
Facilitymedian $21 · 10th to 90th $13 to $63Professionalmedian $33 · 10th to 90th $14 to $60
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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $28.18 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.75 Typical High $12.02 | Professional | 26 · Professional part | $9.77 | $11.75 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $18.62 | $21.88 | $21.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $13.18 Median $19.95 Typical High $33.88 | Facility | None | $13.18 | $19.95 | $33.88 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $13.80 Median $14.45 Typical High $14.45 | Professional | None (both parts) | $13.80 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $35.48 Typical High $79.43 | Professional | None (both parts) | $22.39 | $35.48 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.30 Typical High $24.55 | Professional | 26 · Professional part | $7.08 | $12.30 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $63.10 | Professional | TC · Technical part | $15.14 | $22.91 | $63.10 |
Health Alliance Plan Setting Facility Modifier None Typical Low $26.92 Median $67.61 Typical High $74.13 | Facility | None | $26.92 | $67.61 | $74.13 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $38.90 | Professional | None (both parts) | $25.12 | $32.36 | $38.90 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $14.13 | Professional | 26 · Professional part | $9.12 | $11.75 | $14.13 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.89 Typical High $25.12 | Professional | TC · Technical part | $16.22 | $20.89 | $25.12 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $22.39 Median $35.48 Typical High $72.44 | Professional | None (both parts) | $22.39 | $35.48 | $72.44 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $7.24 | $11.75 | $21.38 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $21.88 Typical High $63.10 | Professional | TC · Technical part | $15.14 | $21.88 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $40.74 | $52.48 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $15.14 | Professional | 26 · Professional part | $8.91 | $10.72 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $58.88 | Professional | TC · Technical part | $31.62 | $41.69 | $58.88 |
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 $14.13 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $14.13 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $5.62 | $6.76 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.60 Median $20.89 Typical High $26.30 | Professional | FX · Film X-ray | $16.60 | $20.89 | $26.30 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $16.60 | $16.60 | $16.60 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Where Michigan sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 42nd of 51
$32.36
AK $110FL $23.44
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.