How much rates vary
Facilitymedian $151 · 10th to 90th $98 to $347Professionalmedian $126 · 10th to 90th $91 to $166
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 $123.03 Median $123.03 Typical High $154.88 | Facility | None | $123.03 | $123.03 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $112.20 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $57.54 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $64.57 | $66.07 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $48.98 | $70.79 |
BCBS Michigan Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $251.19 | Facility | None | $97.72 | $144.54 | $251.19 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $74.13 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $74.13 | $165.96 | $165.96 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $269.15 | Professional | None (both parts) | $83.18 | $120.23 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $48.98 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $79.43 Typical High $181.97 | Professional | TC · Technical part | $43.65 | $79.43 | $181.97 |
Health Alliance Plan Setting Facility Modifier None Typical Low $123.03 Median $251.19 Typical High $1,230.27 | Facility | None | $123.03 | $251.19 | $1,230.27 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $158.49 Typical High $213.80 | Facility | TC · Technical part | $66.07 | $158.49 | $213.80 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $100.00 | $125.89 | $158.49 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $42.66 | $60.26 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $74.13 | $112.20 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $79.43 | $117.49 | $218.78 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $41.69 | $72.44 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $77.62 Typical High $181.97 | Professional | TC · Technical part | $41.69 | $77.62 | $181.97 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $4,466.84 | Facility | None | $1,621.81 | $2,089.30 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $100.00 | $120.23 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $37.15 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $67.61 | $83.18 | $102.33 |
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 $52.48 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $81.28 Typical High $97.72 | Professional | FX · Film X-ray | $64.57 | $81.28 | $97.72 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Where Michigan sits
The same service costs 4.2 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· 30th of 51
$126
AK $316UT $75.86
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.