How much rates vary
Facilitymedian $288 · 10th to 90th $191 to $562Professionalmedian $209 · 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 $194.98 Median $199.53 Typical High $199.53 | Facility | None | $194.98 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $169.82 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $72.44 | Professional | 26 · Professional part | $58.88 | $70.79 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $109.65 | $128.82 | $128.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $190.55 Median $281.84 Typical High $489.78 | Facility | None | $190.55 | $281.84 | $489.78 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $269.15 | Professional | None (both parts) | $169.82 | $257.04 | $269.15 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $125.89 | $245.47 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $43.65 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $162.18 Typical High $457.09 | Professional | TC · Technical part | $83.18 | $162.18 | $457.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $190.55 Median $512.86 Typical High $549.54 | Facility | None | $190.55 | $512.86 | $549.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $190.55 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $190.55 | $194.98 | $269.15 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $51.29 | $67.61 | $81.28 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $120.23 | $138.04 | $186.21 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $562.34 | Professional | None (both parts) | $138.04 | $204.17 | $562.34 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $72.44 | $125.89 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $154.88 Typical High $407.38 | Professional | TC · Technical part | $89.13 | $154.88 | $407.38 |
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 $69.18 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $69.18 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $107.15 | $169.82 | $346.74 |
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 $85.11 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $128.82 Typical High $229.09 | Professional | FX · Film X-ray | $97.72 | $128.82 | $229.09 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Where Michigan sits
The same service costs 4.4 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
$214
AK $513TX $117
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.