How much rates vary
Facilitymedian $126 · 10th to 90th $126 to $240Professionalmedian $78 · 10th to 90th $38 to $186
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 $75.86 Median $75.86 Typical High $97.72 | Facility | None | $75.86 | $75.86 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $75.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | 26 · Professional part | $26.92 | $26.92 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $47.86 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $223.87 | Facility | None | $125.89 | $125.89 | $223.87 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $35.48 | $38.02 | $38.02 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $40.74 | $40.74 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $97.72 Typical High $204.17 | Professional | None (both parts) | $50.12 | $97.72 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $16.98 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $63.10 Typical High $141.25 | Professional | TC · Technical part | $33.11 | $63.10 | $141.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $75.86 Median $218.78 Typical High $239.88 | Facility | None | $75.86 | $218.78 | $239.88 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $112.20 Typical High $154.88 | Facility | TC · Technical part | $47.86 | $112.20 | $154.88 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $75.86 | $91.20 | $181.97 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $27.54 | $28.84 | $43.65 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $83.18 | Professional | TC · Technical part | $47.86 | $58.88 | $83.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $104.71 Typical High $218.78 | Professional | None (both parts) | $47.86 | $104.71 | $218.78 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $16.22 | $33.11 | $58.88 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $58.88 Typical High $141.25 | Professional | TC · Technical part | $31.62 | $58.88 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $141.25 | $165.96 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $42.66 | Professional | 26 · Professional part | $31.62 | $34.67 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $109.65 | $131.83 | $177.83 |
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 $37.15 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $37.15 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.14 | $15.49 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $50.12 Typical High $70.79 | Professional | FX · Film X-ray | $42.66 | $50.12 | $70.79 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Where Michigan sits
The same service costs 6.6 times more in Nebraska 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· 49th of 51
$77.62
NE $363FL $54.95
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.