How much rates vary
Facilitymedian $4,266 · 10th to 90th $646 to $7,762Professionalmedian $282 · 10th to 90th $59 to $3,467
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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $3,715.35 Typical High $3,715.35 | Professional | None (both parts) | $1,318.26 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $38.02 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $3,715.35 Typical High $3,715.35 | Professional | TC · Technical part | $2,238.72 | $3,715.35 | $3,715.35 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,235.94 Median $4,786.30 Typical High $8,317.64 | Facility | None | $3,235.94 | $4,786.30 | $8,317.64 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $54.95 Median $58.88 Typical High $63.10 | Professional | None (both parts) | $54.95 | $58.88 | $63.10 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $199.53 | $323.59 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $27.54 | $48.98 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $275.42 Typical High $616.60 | Professional | TC · Technical part | $173.78 | $275.42 | $616.60 |
Health Alliance Plan Setting Facility Modifier None Typical Low $549.54 Median $630.96 Typical High $3,235.94 | Facility | None | $549.54 | $630.96 | $3,235.94 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $3,235.94 | Professional | None (both parts) | $218.78 | $288.40 | $3,235.94 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $53.70 | Professional | 26 · Professional part | $33.11 | $43.65 | $53.70 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $3,235.94 | Professional | TC · Technical part | $186.21 | $245.47 | $3,235.94 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $199.53 | $316.23 | $512.86 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $28.18 | $45.71 | $81.28 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $173.78 | $269.15 | $501.19 |
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 $251.19 Median $776.25 Typical High $1,995.26 | Professional | None (both parts) | $251.19 | $776.25 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $37.15 | $41.69 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $724.44 Typical High $2,137.96 | Professional | TC · Technical part | $213.80 | $724.44 | $2,137.96 |
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 $1,318.26 Median $1,862.09 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,318.26 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $741.31 Typical High $741.31 | Professional | 53 · Discontinued | $524.81 | $741.31 | $741.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $2,238.72 Typical High $3,467.37 | Professional | FX · Film X-ray | $426.58 | $2,238.72 | $3,467.37 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,621.81 | $1,621.81 | $1,621.81 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $660.69 | $660.69 | $660.69 |
Where Michigan sits
The same service costs 15.1 times more in Colorado 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· 49th of 51
$282
CO $3,715NJ $245
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.