How much rates vary
Facilitymedian $209 · 10th to 90th $138 to $468Professionalmedian $158 · 10th to 90th $115 to $251
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $138.04 | $158.49 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $95.50 | $141.25 |
BCBS Michigan Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $354.81 | Facility | None | $138.04 | $204.17 | $354.81 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $79.43 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $79.43 | $173.78 | $208.93 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $204.17 Typical High $602.56 | Professional | None (both parts) | $104.71 | $204.17 | $602.56 |
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 $61.66 Median $128.82 Typical High $426.58 | Professional | TC · Technical part | $61.66 | $128.82 | $426.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $154.88 Median $426.58 Typical High $467.74 | Facility | None | $154.88 | $426.58 | $467.74 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $154.88 | $158.49 | $223.87 |
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 $91.20 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $91.20 | $112.20 | $154.88 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $194.98 Typical High $602.56 | Professional | None (both parts) | $107.15 | $194.98 | $602.56 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $63.10 | $112.20 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $123.03 Typical High $489.78 | Professional | TC · Technical part | $64.57 | $123.03 | $489.78 |
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 $138.04 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $138.04 | $204.17 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $58.88 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $134.90 Typical High $302.00 | Professional | TC · Technical part | $85.11 | $134.90 | $302.00 |
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 $67.61 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $100.00 Typical High $173.78 | Professional | FX · Film X-ray | $75.86 | $100.00 | $173.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Where Michigan sits
The same service costs 4.3 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· 39th of 51
$162
AK $407UT $95.50
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.