How much rates vary
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $562.34 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $40.74 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $549.54 | $724.44 | $724.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $645.65 Median $954.99 Typical High $1,659.59 | Facility | None | $645.65 | $954.99 | $1,659.59 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $64.57 Median $67.61 Typical High $72.44 | Professional | None (both parts) | $64.57 | $67.61 | $72.44 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $194.98 | $302.00 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $53.70 Typical High $104.71 | Professional | 26 · Professional part | $31.62 | $53.70 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $489.78 | Professional | TC · Technical part | $162.18 | $251.19 | $489.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $537.03 Median $616.60 Typical High $645.65 | Facility | None | $537.03 | $616.60 | $645.65 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $645.65 | Professional | None (both parts) | $213.80 | $288.40 | $645.65 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $50.12 | $58.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $630.96 | Professional | TC · Technical part | $177.83 | $234.42 | $630.96 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $194.98 | $288.40 | $512.86 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $31.62 | $48.98 | $91.20 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $239.88 | $446.68 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $1,778.28 | Facility | None | $645.65 | $831.76 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $407.38 Typical High $851.14 | Professional | None (both parts) | $229.09 | $407.38 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $38.90 | $44.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $354.81 Typical High $794.33 | Professional | TC · Technical part | $190.55 | $354.81 | $794.33 |
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 $281.84 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $281.84 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $114.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $446.68 Typical High $676.08 | Professional | FX · Film X-ray | $165.96 | $446.68 | $676.08 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Where Michigan sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 48th of 51
$263
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.