How much rates vary
Facilitymedian $324 · 10th to 90th $182 to $708Professionalmedian $87 · 10th to 90th $44 to $155
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 $93.33 Median $95.50 Typical High $95.50 | Facility | None | $93.33 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $81.28 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $34.67 | Professional | 26 · Professional part | $28.84 | $33.88 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $53.70 | $63.10 | $63.10 |
BCBS Michigan Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $741.31 | Facility | None | $194.98 | $363.08 | $741.31 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $43.65 | $46.77 | $87.10 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $102.33 Typical High $204.17 | Professional | None (both parts) | $64.57 | $102.33 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $36.31 Typical High $72.44 | Professional | 26 · Professional part | $20.89 | $36.31 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $154.88 | Professional | TC · Technical part | $43.65 | $67.61 | $154.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $95.50 Median $190.55 Typical High $208.93 | Facility | None | $95.50 | $190.55 | $208.93 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $70.79 | $93.33 | $144.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $24.55 | $33.11 | $39.81 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $60.26 | $107.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $87.10 Typical High $173.78 | Professional | None (both parts) | $64.57 | $87.10 | $173.78 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $21.38 | $34.67 | $61.66 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $61.66 Typical High $134.90 | Professional | TC · Technical part | $43.65 | $61.66 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $79.43 | $147.91 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $31.62 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $117.49 Typical High $154.88 | Professional | TC · Technical part | $45.71 | $117.49 | $154.88 |
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 $40.74 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $40.74 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $19.50 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $61.66 Typical High $75.86 | Professional | FX · Film X-ray | $48.98 | $61.66 | $75.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $19.05 | $19.05 | $19.05 |
Where Michigan sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 48th of 51
$87.10
AK $331TX $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.