How much rates vary
Facilitymedian $151 · 10th to 90th $151 to $324Professionalmedian $115 · 10th to 90th $39 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 $114.82 Median $117.49 Typical High $117.49 | Facility | None | $114.82 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $114.82 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $85.11 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
BCBS Michigan Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $263.03 | Facility | None | $151.36 | $151.36 | $263.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $37.15 | $38.90 | $38.90 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $35.48 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $79.43 | $128.82 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $19.05 | $30.20 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $58.88 | $95.50 | $173.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $117.49 Median $251.19 Typical High $912.01 | Facility | None | $117.49 | $251.19 | $912.01 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $85.11 | $114.82 | $151.36 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $33.11 | Professional | 26 · Professional part | $21.38 | $28.84 | $33.11 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $109.65 | Professional | TC · Technical part | $64.57 | $85.11 | $109.65 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $75.86 | $125.89 | $213.80 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $18.62 | $28.84 | $51.29 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $173.78 | Professional | TC · Technical part | $57.54 | $81.28 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $177.83 | Professional | None (both parts) | $114.82 | $134.90 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $23.99 | $26.92 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $91.20 | $109.65 | $147.91 |
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 $57.54 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $23.99 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $74.13 Typical High $95.50 | Professional | FX · Film X-ray | $66.07 | $74.13 | $95.50 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Where Michigan sits
The same service costs 4.0 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· 39th of 51
$115
AK $302FL $75.86
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.