How much rates vary
Facilitymedian $447 · 10th to 90th $195 to $891Professionalmedian $229 · 10th to 90th $170 to $513
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $169.82 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $53.70 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $123.03 | $162.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $758.58 | Facility | None | $229.09 | $398.11 | $758.58 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $173.78 Median $489.78 Typical High $512.86 | Professional | None (both parts) | $173.78 | $489.78 | $512.86 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $239.88 Typical High $602.56 | Professional | None (both parts) | $123.03 | $239.88 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $40.74 | $69.18 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $154.88 Typical High $478.63 | Professional | TC · Technical part | $79.43 | $154.88 | $478.63 |
Health Alliance Plan Setting Facility Modifier None Typical Low $186.21 Median $478.63 Typical High $512.86 | Facility | None | $186.21 | $478.63 | $512.86 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $173.78 | $190.55 | $245.47 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $64.57 | $77.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $123.03 Typical High $173.78 | Professional | TC · Technical part | $120.23 | $123.03 | $173.78 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $602.56 | Professional | None (both parts) | $131.83 | $229.09 | $602.56 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $40.74 | $66.07 | $120.23 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $144.54 Typical High $489.78 | Professional | TC · Technical part | $87.10 | $144.54 | $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 $158.49 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $158.49 | $229.09 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $63.10 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $158.49 Typical High $323.59 | Professional | TC · Technical part | $104.71 | $158.49 | $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 $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 $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $31.62 | $38.02 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $123.03 Typical High $204.17 | Professional | FX · Film X-ray | $95.50 | $123.03 | $204.17 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Where Michigan sits
The same service costs 4.0 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· 30th of 51
$229
AK $479TX $120
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.