How much rates vary
Facilitymedian $170 · 10th to 90th $110 to $427Professionalmedian $145 · 10th to 90th $102 to $229
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $131.83 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $51.29 | $64.57 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $74.13 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $281.84 | Facility | None | $109.65 | $162.18 | $281.84 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $181.97 | Professional | None (both parts) | $102.33 | $173.78 | $181.97 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $194.98 Typical High $602.56 | Professional | None (both parts) | $93.33 | $194.98 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $134.90 | Professional | 26 · Professional part | $39.81 | $66.07 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $107.15 Typical High $426.58 | Professional | TC · Technical part | $51.29 | $107.15 | $426.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $138.04 Median $416.87 Typical High $588.84 | Facility | None | $138.04 | $416.87 | $588.84 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $134.90 | $144.54 | $208.93 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $43.65 | $57.54 | $70.79 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $74.13 | $100.00 | $141.25 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $181.97 Typical High $602.56 | Professional | None (both parts) | $95.50 | $181.97 | $602.56 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $61.66 | $109.65 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $104.71 Typical High $389.05 | Professional | TC · Technical part | $52.48 | $104.71 | $389.05 |
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 $125.89 Median $186.21 Typical High $389.05 | Professional | None (both parts) | $125.89 | $186.21 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $57.54 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $288.40 | Professional | TC · Technical part | $72.44 | $114.82 | $288.40 |
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 $57.54 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $57.54 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $23.44 | $27.54 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $89.13 Typical High $138.04 | Professional | FX · Film X-ray | $69.18 | $89.13 | $138.04 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Where Michigan sits
The same service costs 4.8 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· 38th of 51
$145
AK $363UT $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.