How much rates vary
Facilitymedian $269 · 10th to 90th $132 to $631Professionalmedian $191 · 10th to 90th $135 to $398
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $144.54 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $54.95 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $81.28 | $83.18 | $97.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $524.81 | Facility | None | $131.83 | $251.19 | $524.81 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $117.49 Median $199.53 Typical High $398.11 | Professional | None (both parts) | $117.49 | $199.53 | $398.11 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $181.97 Typical High $478.63 | Professional | None (both parts) | $93.33 | $181.97 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $38.90 | $67.61 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $114.82 Typical High $426.58 | Professional | TC · Technical part | $56.23 | $114.82 | $426.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $144.54 Median $398.11 Typical High $1,905.46 | Facility | None | $144.54 | $398.11 | $1,905.46 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $144.54 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $144.54 | $147.91 | $208.93 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $60.26 | $72.44 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $134.90 | Professional | TC · Technical part | $81.28 | $102.33 | $134.90 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $436.52 | Professional | None (both parts) | $97.72 | $154.88 | $436.52 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $63.10 | $112.20 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $107.15 Typical High $389.05 | Professional | TC · Technical part | $56.23 | $107.15 | $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 $134.90 Median $194.98 Typical High $398.11 | Professional | None (both parts) | $134.90 | $194.98 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $60.26 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $295.12 | Professional | TC · Technical part | $79.43 | $125.89 | $295.12 |
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 $61.66 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $61.66 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $24.55 | $29.51 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $93.33 Typical High $154.88 | Professional | FX · Film X-ray | $72.44 | $93.33 | $154.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Where Michigan sits
The same service costs 4.1 times more in Alaska than in Texas. 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
$191
AK $389TX $95.50
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.