How much rates vary
Facilitymedian $174 · 10th to 90th $115 to $427Professionalmedian $155 · 10th to 90th $107 to $240
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 $138.04 Median $141.25 Typical High $141.25 | Facility | None | $138.04 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $134.90 | $141.25 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $53.70 | $64.57 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $74.13 | $77.62 | $134.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $114.82 Median $169.82 Typical High $295.12 | Facility | None | $114.82 | $169.82 | $295.12 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $100.00 | $186.21 | $186.21 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $194.98 Typical High $602.56 | Professional | None (both parts) | $93.33 | $194.98 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $39.81 | $66.07 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $107.15 Typical High $467.74 | Professional | TC · Technical part | $52.48 | $107.15 | $467.74 |
Health Alliance Plan Setting Facility Modifier None Typical Low $138.04 Median $398.11 Typical High $426.58 | Facility | None | $138.04 | $398.11 | $426.58 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $138.04 | $147.91 | $208.93 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $44.67 | $58.88 | $70.79 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $134.90 | Professional | TC · Technical part | $75.86 | $102.33 | $134.90 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $181.97 Typical High $616.60 | Professional | None (both parts) | $97.72 | $181.97 | $616.60 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $64.57 | $109.65 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $107.15 Typical High $489.78 | Professional | TC · Technical part | $53.70 | $107.15 | $489.78 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $7,413.10 Typical High $15,488.17 | Facility | None | $5,754.40 | $7,413.10 | $15,488.17 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $398.11 | Professional | None (both parts) | $125.89 | $194.98 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $60.26 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $295.12 | Professional | TC · Technical part | $72.44 | $114.82 | $295.12 |
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 $58.88 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $58.88 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $91.20 Typical High $144.54 | Professional | FX · Film X-ray | $69.18 | $91.20 | $144.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Where Michigan sits
The same service costs 4.9 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· 34th of 51
$158
AK $372UT $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.