How much rates vary
Facilitymedian $174 · 10th to 90th $115 to $447Professionalmedian $174 · 10th to 90th $107 to $234
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 $138.04 Median $138.04 Typical High $147.91 | Facility | None | $138.04 | $138.04 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $134.90 | $141.25 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $60.26 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $79.43 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $51.29 | $74.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $114.82 Median $169.82 Typical High $295.12 | Facility | None | $114.82 | $169.82 | $295.12 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $100.00 | $181.97 | $194.98 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $186.21 Typical High $602.56 | Professional | None (both parts) | $89.13 | $186.21 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $37.15 | $64.57 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $109.65 Typical High $426.58 | Professional | TC · Technical part | $52.48 | $109.65 | $426.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $138.04 Median $416.87 Typical High $446.68 | Facility | None | $138.04 | $416.87 | $446.68 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $181.97 Typical High $295.12 | Facility | TC · Technical part | $77.62 | $181.97 | $295.12 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $134.90 | $151.36 | $213.80 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $61.66 | $77.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $77.62 | $100.00 | $141.25 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $169.82 Typical High $602.56 | Professional | None (both parts) | $93.33 | $169.82 | $602.56 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $38.02 | $61.66 | $117.49 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $102.33 Typical High $389.05 | Professional | TC · Technical part | $53.70 | $102.33 | $389.05 |
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 $125.89 Median $194.98 Typical High $389.05 | Professional | None (both parts) | $125.89 | $194.98 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $58.88 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $288.40 | Professional | TC · Technical part | $74.13 | $117.49 | $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 $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $89.13 Typical High $144.54 | Professional | FX · Film X-ray | $67.61 | $89.13 | $144.54 |
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 4.9 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
$174
AK $372UT $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.