How much rates vary
Facilitymedian $195 · 10th to 90th $107 to $537Professionalmedian $107 · 10th to 90th $71 to $148
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 $102.33 Median $104.71 Typical High $109.65 | Facility | None | $102.33 | $104.71 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $269.15 | Facility | TC · Technical part | $81.28 | $87.10 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $79.43 | $104.71 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $28.18 | Professional | 26 · Professional part | $16.98 | $21.38 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $107.15 | Professional | TC · Technical part | $63.10 | $83.18 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $18.20 | $26.92 | $26.92 |
BCBS Michigan Setting Facility Modifier None Typical Low $120.23 Median $177.83 Typical High $309.03 | Facility | None | $120.23 | $177.83 | $309.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $112.20 | $138.04 | $147.91 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $67.61 | $95.50 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $22.91 Typical High $44.67 | Professional | 26 · Professional part | $12.88 | $22.91 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $74.13 Typical High $186.21 | Professional | TC · Technical part | $51.29 | $74.13 | $186.21 |
Health Alliance Plan Setting Facility Modifier None Typical Low $107.15 Median $281.84 Typical High $616.60 | Facility | None | $107.15 | $281.84 | $616.60 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $42.66 | Facility | 26 · Professional part | $21.38 | $22.39 | $42.66 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $269.15 | Facility | TC · Technical part | $83.18 | $128.82 | $269.15 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $63.10 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $63.10 | $89.13 | $114.82 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $14.45 | $19.50 | $25.12 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $89.13 | Professional | TC · Technical part | $48.98 | $69.18 | $89.13 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $151.36 | Professional | None (both parts) | $67.61 | $87.10 | $151.36 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $13.18 | $21.38 | $36.31 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $134.90 | Professional | TC · Technical part | $46.77 | $63.10 | $134.90 |
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 $70.79 Median $83.18 Typical High $112.20 | Professional | None (both parts) | $70.79 | $83.18 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $25.70 | Professional | 26 · Professional part | $17.38 | $19.95 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $52.48 | $63.10 | $89.13 |
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 $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $45.71 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $18.20 | $20.89 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $69.18 Typical High $93.33 | Professional | FX · Film X-ray | $48.98 | $69.18 | $93.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
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 4.0 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· 23rd of 51
$107
AK $263UT $66.07
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.