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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $457.09 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $30.20 | Professional | 26 · Professional part | $24.55 | $29.51 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $489.78 | $645.65 | $645.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $1,445.44 | Facility | None | $562.34 | $831.76 | $1,445.44 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.02 Typical High $40.74 | Professional | None (both parts) | $36.31 | $38.02 | $40.74 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $85.11 Typical High $190.55 | Professional | None (both parts) | $53.70 | $85.11 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $31.62 Typical High $64.57 | Professional | 26 · Professional part | $18.20 | $31.62 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $56.23 Typical High $125.89 | Professional | TC · Technical part | $35.48 | $56.23 | $125.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $562.34 | Facility | None | $147.91 | $173.78 | $562.34 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $562.34 | Professional | None (both parts) | $60.26 | $79.43 | $562.34 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $21.38 | $28.84 | $34.67 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $549.54 | Professional | TC · Technical part | $38.02 | $51.29 | $549.54 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $53.70 | $83.18 | $158.49 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $18.62 | $29.51 | $53.70 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $35.48 | $54.95 | $102.33 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,548.82 | Facility | None | $562.34 | $724.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $281.84 Typical High $776.25 | Professional | None (both parts) | $67.61 | $281.84 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $26.92 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $251.19 Typical High $741.31 | Professional | TC · Technical part | $43.65 | $251.19 | $741.31 |
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 $229.09 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $229.09 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $91.20 | $131.83 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $389.05 Typical High $588.84 | Professional | FX · Film X-ray | $223.87 | $389.05 | $588.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Where Michigan sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 51st of 51
$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.