How much rates vary
Facilitymedian $209 · 10th to 90th $120 to $537Professionalmedian $117 · 10th to 90th $74 to $174
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 $112.20 Median $117.49 Typical High $147.91 | Facility | None | $112.20 | $117.49 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $309.03 | Facility | TC · Technical part | $95.50 | $102.33 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $91.20 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $25.12 | Professional | 26 · Professional part | $14.45 | $17.78 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $125.89 | Professional | TC · Technical part | $75.86 | $97.72 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.99 | $23.99 | $23.99 |
BCBS Michigan Setting Facility Modifier None Typical Low $147.91 Median $223.87 Typical High $380.19 | Facility | None | $147.91 | $223.87 | $380.19 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $138.04 | $162.18 | $173.78 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $25.70 | $25.70 | $25.70 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $223.87 | Professional | None (both parts) | $72.44 | $102.33 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $19.50 Typical High $38.02 | Professional | 26 · Professional part | $11.22 | $19.50 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $218.78 | Professional | TC · Technical part | $60.26 | $87.10 | $218.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $691.83 | Facility | None | $117.49 | $223.87 | $691.83 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $234.42 | Facility | TC · Technical part | $97.72 | $144.54 | $234.42 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $70.79 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $70.79 | $100.00 | $123.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $22.39 | Professional | 26 · Professional part | $12.59 | $16.60 | $22.39 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $57.54 | $81.28 | $107.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $66.07 | $95.50 | $165.96 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $18.20 Typical High $31.62 | Professional | 26 · Professional part | $11.48 | $18.20 | $31.62 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $158.49 | Professional | TC · Technical part | $53.70 | $74.13 | $158.49 |
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 $83.18 Median $93.33 Typical High $125.89 | Professional | None (both parts) | $83.18 | $93.33 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $15.49 | $17.78 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $104.71 | Professional | TC · Technical part | $67.61 | $75.86 | $104.71 |
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 $50.12 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $50.12 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $75.86 Typical High $107.15 | Professional | FX · Film X-ray | $53.70 | $75.86 | $107.15 |
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 3.8 times more in Alaska than in New York. 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
$117
AK $288NY $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.