How much rates vary
Facilitymedian $151 · 10th to 90th $151 to $316Professionalmedian $141 · 10th to 90th $54 to $178
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 $151.36 Median $154.88 Typical High $154.88 | Facility | None | $151.36 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $151.36 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | 26 · Professional part | $42.66 | $42.66 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $109.65 | $114.82 | $114.82 |
BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $269.15 | Facility | None | $151.36 | $151.36 | $269.15 |
BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $51.29 | $53.70 | $53.70 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $104.71 | $154.88 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $26.30 | $41.69 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $112.20 | $194.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $151.36 Median $316.23 Typical High $346.74 | Facility | None | $151.36 | $316.23 | $346.74 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $117.49 | $151.36 | $181.97 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $48.98 | Professional | 26 · Professional part | $31.62 | $42.66 | $48.98 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $131.83 | Professional | TC · Technical part | $85.11 | $109.65 | $131.83 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $97.72 | $151.36 | $245.47 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $25.70 | $40.74 | $72.44 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $100.00 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $194.98 | Professional | None (both parts) | $125.89 | $147.91 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $38.02 | $45.71 |
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 $75.86 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $75.86 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $30.20 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $97.72 Typical High $125.89 | Professional | FX · Film X-ray | $87.10 | $97.72 | $125.89 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Where Michigan sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 31st of 51
$145
AK $389MD $87.10
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.