How much rates vary
Facilitymedian $339 · 10th to 90th $339 to $603Professionalmedian $132 · 10th to 90th $59 to $263
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $128.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | 26 · Professional part | $46.77 | $46.77 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $81.28 | $87.10 | $87.10 |
BCBS Michigan Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $602.56 | Facility | None | $338.84 | $338.84 | $602.56 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $144.54 Typical High $323.59 | Professional | None (both parts) | $89.13 | $144.54 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $30.20 | $48.98 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $91.20 Typical High $263.03 | Professional | TC · Technical part | $56.23 | $91.20 | $263.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $134.90 Median $275.42 Typical High $302.00 | Facility | None | $134.90 | $275.42 | $302.00 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $102.33 | $134.90 | $165.96 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $47.86 | $54.95 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $66.07 | $85.11 | $107.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $131.83 Typical High $309.03 | Professional | None (both parts) | $87.10 | $131.83 | $309.03 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $29.51 | $47.86 | $83.18 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $177.83 | Professional | TC · Technical part | $56.23 | $77.62 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $169.82 | $251.19 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $52.48 | Professional | 26 · Professional part | $39.81 | $44.67 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $213.80 Typical High $239.88 | Professional | TC · Technical part | $123.03 | $213.80 | $239.88 |
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 $64.57 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $64.57 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.70 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $87.10 Typical High $107.15 | Professional | FX · Film X-ray | $72.44 | $87.10 | $107.15 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Where Michigan sits
The same service costs 5.2 times more in North Dakota 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· 40th of 51
$132
ND $457FL $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.