How much rates vary
Facilitymedian $191 · 10th to 90th $120 to $575Professionalmedian $229 · 10th to 90th $170 to $302
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 $190.55 Median $190.55 Typical High $204.17 | Facility | None | $190.55 | $190.55 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $177.83 | $190.55 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $109.65 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $109.65 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $81.28 Typical High $213.80 | Professional | TC · Technical part | $79.43 | $81.28 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
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 $251.19 Typical High $251.19 | Professional | None (both parts) | $112.20 | $251.19 | $251.19 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
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 $123.03 Median $239.88 Typical High $562.34 | Professional | None (both parts) | $123.03 | $239.88 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $102.33 Typical High $229.09 | Professional | 26 · Professional part | $63.10 | $102.33 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $123.03 Typical High $478.63 | Professional | TC · Technical part | $54.95 | $123.03 | $478.63 |
Health Alliance Plan Setting Facility Modifier None Typical Low $190.55 Median $524.81 Typical High $6,760.83 | Facility | None | $190.55 | $524.81 | $6,760.83 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $190.55 Typical High $416.87 | Facility | TC · Technical part | $79.43 | $190.55 | $416.87 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $181.97 | $194.98 | $281.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $79.43 | $114.82 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $79.43 | $141.25 | $199.53 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $562.34 | Professional | None (both parts) | $131.83 | $208.93 | $562.34 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $53.70 | $97.72 | $158.49 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $114.82 Typical High $478.63 | Professional | TC · Technical part | $56.23 | $114.82 | $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 $169.82 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $169.82 | $251.19 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $75.86 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $165.96 Typical High $338.84 | Professional | TC · Technical part | $75.86 | $165.96 | $338.84 |
6 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 $79.43 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $79.43 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $31.62 | $38.90 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $123.03 Typical High $165.96 | Professional | FX · Film X-ray | $89.13 | $123.03 | $165.96 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $58.88 Median $245.47 Typical High $269.15 | Professional | 59 · Distinct service | $58.88 | $245.47 | $269.15 |
Where Michigan sits
The same service costs 5.1 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· 33rd of 51
$224
AK $513UT $100
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.