How much rates vary
Facilitymedian $195 · 10th to 90th $138 to $355Professionalmedian $110 · 10th to 90th $69 to $162
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $95.50 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.42 Typical High $21.38 | Professional | 26 · Professional part | $16.98 | $20.42 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $75.86 | $89.13 | $89.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $354.81 | Facility | None | $138.04 | $204.17 | $354.81 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $120.23 | $154.88 | $165.96 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $223.87 | Professional | None (both parts) | $69.18 | $100.00 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $22.39 Typical High $42.66 | Professional | 26 · Professional part | $12.59 | $22.39 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $194.98 | Professional | TC · Technical part | $51.29 | $79.43 | $194.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $194.98 | Facility | None | $109.65 | $181.97 | $194.98 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $112.20 | Professional | None (both parts) | $66.07 | $89.13 | $112.20 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $24.55 | Professional | 26 · Professional part | $15.14 | $19.95 | $24.55 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $91.20 | Professional | TC · Technical part | $51.29 | $69.18 | $91.20 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $64.57 | $91.20 | $165.96 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $20.89 Typical High $38.02 | Professional | 26 · Professional part | $12.88 | $20.89 | $38.02 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $147.91 | Professional | TC · Technical part | $47.86 | $69.18 | $147.91 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $676.08 | Facility | None | $245.47 | $323.59 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $75.86 | $89.13 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.95 Typical High $26.30 | Professional | 26 · Professional part | $17.78 | $19.95 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $57.54 | $67.61 | $95.50 |
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 $45.71 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $70.79 Typical High $95.50 | Professional | FX · Film X-ray | $50.12 | $70.79 | $95.50 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Where Michigan sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$110
AK $282KY $74.13
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.