How much rates vary
Facilitymedian $178 · 10th to 90th $115 to $2,570Professionalmedian $191 · 10th to 90th $135 to $275
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 $173.78 Median $173.78 Typical High $223.87 | Facility | None | $173.78 | $173.78 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $165.96 | $177.83 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $97.72 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $97.72 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $77.62 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $120.23 | $123.03 | $151.36 |
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 $107.15 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $107.15 | $229.09 | $245.47 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $60.26 | $95.50 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $239.88 Typical High $602.56 | Professional | None (both parts) | $117.49 | $239.88 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $93.33 Typical High $204.17 | Professional | 26 · Professional part | $56.23 | $93.33 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $114.82 Typical High $478.63 | Professional | TC · Technical part | $53.70 | $114.82 | $478.63 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $436.52 Typical High $4,168.69 | Facility | None | $173.78 | $436.52 | $4,168.69 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $181.97 Typical High $354.81 | Facility | TC · Technical part | $77.62 | $181.97 | $354.81 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $162.18 | $177.83 | $251.19 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $69.18 | $104.71 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $77.62 | $120.23 | $169.82 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $213.80 Typical High $602.56 | Professional | None (both parts) | $123.03 | $213.80 | $602.56 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $47.86 | $87.10 | $144.54 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $109.65 Typical High $478.63 | Professional | TC · Technical part | $53.70 | $109.65 | $478.63 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,265.80 Typical High $8,912.51 | Facility | None | $3,235.94 | $4,265.80 | $8,912.51 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $158.49 | $213.80 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $64.57 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $138.04 Typical High $316.23 | Professional | TC · Technical part | $74.13 | $138.04 | $316.23 |
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 $74.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $29.51 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $112.20 Typical High $154.88 | Professional | FX · Film X-ray | $83.18 | $112.20 | $154.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Where Michigan sits
The same service costs 4.1 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· 37th of 51
$191
AK $468TX $115
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.