How much rates vary
Facilitymedian $339 · 10th to 90th $166 to $646Professionalmedian $195 · 10th to 90th $126 to $447
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $158.49 | $169.82 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $61.66 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $102.33 | $107.15 | $186.21 |
BCBS Michigan Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $562.34 | Facility | None | $169.82 | $323.59 | $562.34 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $77.62 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $77.62 | $234.42 | $446.68 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $223.87 Typical High $575.44 | Professional | None (both parts) | $109.65 | $223.87 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $64.57 Typical High $128.82 | Professional | 26 · Professional part | $38.02 | $64.57 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $138.04 Typical High $436.52 | Professional | TC · Technical part | $67.61 | $138.04 | $436.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $162.18 Median $436.52 Typical High $467.74 | Facility | None | $162.18 | $436.52 | $467.74 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $162.18 | $162.18 | $245.47 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $69.18 | Professional | 26 · Professional part | $43.65 | $56.23 | $69.18 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $102.33 | $117.49 | $177.83 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $602.56 | Professional | None (both parts) | $114.82 | $208.93 | $602.56 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $63.10 | $107.15 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $134.90 Typical High $398.11 | Professional | TC · Technical part | $72.44 | $134.90 | $398.11 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $7,413.10 Typical High $15,488.17 | Facility | None | $5,754.40 | $7,413.10 | $15,488.17 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $144.54 | $208.93 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $60.26 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $323.59 | Professional | TC · Technical part | $93.33 | $147.91 | $323.59 |
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 $70.79 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $33.88 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $107.15 Typical High $190.55 | Professional | FX · Film X-ray | $81.28 | $107.15 | $190.55 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | XU · Unusual separate service | $112.20 | $112.20 | $114.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Where Michigan sits
The same service costs 4.2 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
$200
AK $437UT $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.