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 $371.54 Median $380.19 Typical High $467.74 | Facility | None | $371.54 | $380.19 | $467.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $660.69 | Facility | TC · Technical part | $223.87 | $288.40 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $371.54 | $371.54 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $173.78 | Professional | 26 · Professional part | $112.20 | $144.54 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $223.87 | $229.09 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $107.15 | $112.20 | $162.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $1,288.25 | Facility | None | $501.19 | $741.31 | $1,288.25 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $467.74 Median $630.96 Typical High $676.08 | Professional | None (both parts) | $467.74 | $630.96 | $676.08 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $181.97 | $181.97 | $181.97 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $501.19 | $501.19 | $501.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $104.71 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $104.71 | $302.00 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $323.59 | $602.56 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $134.90 Typical High $275.42 | Professional | 26 · Professional part | $83.18 | $134.90 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $426.58 Typical High $870.96 | Professional | TC · Technical part | $223.87 | $426.58 | $870.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $186.21 Median $1,071.52 Typical High $2,041.74 | Facility | None | $186.21 | $1,071.52 | $2,041.74 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $144.54 Median $151.36 Typical High $275.42 | Facility | 26 · Professional part | $144.54 | $151.36 | $275.42 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $426.58 Typical High $870.96 | Facility | TC · Technical part | $229.09 | $426.58 | $870.96 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $354.81 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $354.81 | $416.87 | $562.34 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $173.78 | Professional | 26 · Professional part | $93.33 | $123.03 | $173.78 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $213.80 | $309.03 | $426.58 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $1,047.13 | Professional | None (both parts) | $302.00 | $446.68 | $1,047.13 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $234.42 | Professional | 26 · Professional part | $83.18 | $125.89 | $234.42 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $323.59 Typical High $707.95 | Professional | TC · Technical part | $199.53 | $323.59 | $707.95 |
United Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $489.78 | Facility | None | $181.97 | $234.42 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $512.86 Typical High $724.44 | Professional | None (both parts) | $416.87 | $512.86 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $125.89 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $398.11 Typical High $562.34 | Professional | TC · Technical part | $295.12 | $398.11 | $562.34 |
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 $173.78 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $173.78 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $69.18 | $74.13 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $239.88 Typical High $331.13 | Professional | FX · Film X-ray | $169.82 | $239.88 | $331.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $177.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Where Michigan sits
The same service costs 6.8 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· 32nd of 51
$468
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.