How much rates vary
Facilitymedian $155 · 10th to 90th $102 to $251Professionalmedian $95 · 10th to 90th $74 to $132
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 $91.20 Median $93.33 Typical High $93.33 | Facility | None | $91.20 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $97.72 | Professional | None (both parts) | $83.18 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $28.18 | Professional | 26 · Professional part | $22.91 | $26.92 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $70.79 | Professional | TC · Technical part | $60.26 | $66.07 | $70.79 |
BCBS Michigan Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $263.03 | Facility | None | $102.33 | $151.36 | $263.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $36.31 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $36.31 | $125.89 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $97.72 Typical High $218.78 | Professional | None (both parts) | $58.88 | $97.72 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $28.18 Typical High $58.88 | Professional | 26 · Professional part | $16.60 | $28.18 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $75.86 Typical High $173.78 | Professional | TC · Technical part | $38.02 | $75.86 | $173.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $93.33 Median $223.87 Typical High $245.47 | Facility | None | $93.33 | $223.87 | $245.47 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $83.18 | $93.33 | $128.82 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $19.05 | $25.12 | $30.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $67.61 | $97.72 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $58.88 | $93.33 | $181.97 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $16.98 | $25.70 | $46.77 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $72.44 Typical High $158.49 | Professional | TC · Technical part | $35.48 | $72.44 | $158.49 |
United Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $295.12 | Facility | None | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $89.13 Typical High $125.89 | Professional | None (both parts) | $77.62 | $89.13 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $33.11 | Professional | 26 · Professional part | $21.38 | $23.99 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $56.23 | $64.57 | $93.33 |
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 $39.81 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $39.81 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $15.85 | $18.62 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $60.26 Typical High $79.43 | Professional | FX · Film X-ray | $50.12 | $60.26 | $79.43 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Where Michigan sits
The same service costs 3.8 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· 32nd of 51
$95.50
AK $245UT $64.57
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.