How much rates vary
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 $147.91 Median $151.36 Typical High $151.36 | Facility | None | $147.91 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $141.25 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $28.18 Typical High $28.84 | Professional | 26 · Professional part | $16.60 | $28.18 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $162.18 | Professional | TC · Technical part | $117.49 | $125.89 | $162.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $707.95 | Facility | None | $199.53 | $380.19 | $707.95 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $169.82 | $223.87 | $416.87 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $112.20 Typical High $302.00 | Professional | None (both parts) | $61.66 | $112.20 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.30 Typical High $54.95 | Professional | 26 · Professional part | $16.60 | $26.30 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $89.13 Typical High $263.03 | Professional | TC · Technical part | $45.71 | $89.13 | $263.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $131.83 Median $154.88 Typical High $154.88 | Facility | None | $131.83 | $154.88 | $154.88 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $158.49 | Professional | None (both parts) | $53.70 | $75.86 | $158.49 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $28.18 | Professional | 26 · Professional part | $14.45 | $19.05 | $28.18 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $128.82 | Professional | TC · Technical part | $38.90 | $54.95 | $128.82 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $97.72 Typical High $199.53 | Professional | None (both parts) | $54.95 | $97.72 | $199.53 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $23.44 Typical High $38.90 | Professional | 26 · Professional part | $14.45 | $23.44 | $38.90 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $81.28 Typical High $177.83 | Professional | TC · Technical part | $42.66 | $81.28 | $177.83 |
United Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $977.24 | Facility | None | $354.81 | $467.74 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $125.89 Typical High $501.19 | Professional | None (both parts) | $61.66 | $125.89 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.42 Typical High $30.20 | Professional | 26 · Professional part | $16.60 | $20.42 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $100.00 Typical High $478.63 | Professional | TC · Technical part | $45.71 | $100.00 | $478.63 |
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 $70.79 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $70.79 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $28.18 | $30.90 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $100.00 Typical High $223.87 | Professional | FX · Film X-ray | $74.13 | $100.00 | $223.87 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Where Michigan sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 24th of 51
$158
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.