How much rates vary
Facilitymedian $245 · 10th to 90th $162 to $479Professionalmedian $191 · 10th to 90th $151 to $282
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 $177.83 Typical High $177.83 | Facility | None | $173.78 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $151.36 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $63.10 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $100.00 | $114.82 | $114.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $416.87 | Facility | None | $162.18 | $245.47 | $416.87 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $151.36 | $234.42 | $234.42 |
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 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $234.42 Typical High $602.56 | Professional | None (both parts) | $117.49 | $234.42 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $39.81 | $67.61 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $151.36 Typical High $436.52 | Professional | TC · Technical part | $74.13 | $151.36 | $436.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $426.58 Typical High $457.09 | Facility | None | $173.78 | $426.58 | $457.09 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $158.49 | $173.78 | $229.09 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $72.44 | Professional | 26 · Professional part | $44.67 | $58.88 | $72.44 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $109.65 | $112.20 | $158.49 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $602.56 | Professional | None (both parts) | $120.23 | $223.87 | $602.56 |
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 $79.43 Median $144.54 Typical High $478.63 | Professional | TC · Technical part | $79.43 | $144.54 | $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 $208.93 Typical High $407.38 | Professional | None (both parts) | $158.49 | $208.93 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $61.66 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $323.59 | Professional | TC · Technical part | $102.33 | $147.91 | $323.59 |
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 $75.86 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $75.86 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $30.20 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $114.82 Typical High $204.17 | Professional | FX · Film X-ray | $89.13 | $114.82 | $204.17 |
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 4.4 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· 36th of 51
$195
AK $457UT $105
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.