How much rates vary
Facilitymedian $186 · 10th to 90th $120 to $631Professionalmedian $195 · 10th to 90th $107 to $288
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $131.83 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $63.10 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $75.86 | $85.11 | $85.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $309.03 | Facility | None | $120.23 | $181.97 | $309.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $81.28 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $81.28 | $194.98 | $194.98 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $208.93 Typical High $602.56 | Professional | None (both parts) | $100.00 | $208.93 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $38.02 | $67.61 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $120.23 Typical High $436.52 | Professional | TC · Technical part | $57.54 | $120.23 | $436.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $147.91 Median $588.84 Typical High $645.65 | Facility | None | $147.91 | $588.84 | $645.65 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $147.91 | $218.78 | $288.40 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $48.98 | $63.10 | $72.44 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $169.82 Typical High $223.87 | Professional | TC · Technical part | $83.18 | $169.82 | $223.87 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $194.98 Typical High $602.56 | Professional | None (both parts) | $100.00 | $194.98 | $602.56 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $38.02 | $64.57 | $112.20 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $117.49 Typical High $398.11 | Professional | TC · Technical part | $58.88 | $117.49 | $398.11 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $1,778.28 | Facility | None | $645.65 | $831.76 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $134.90 | $229.09 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $53.70 | $63.10 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $323.59 | Professional | TC · Technical part | $81.28 | $128.82 | $323.59 |
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 $63.10 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $63.10 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $29.51 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $95.50 Typical High $158.49 | Professional | FX · Film X-ray | $72.44 | $95.50 | $158.49 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Where Michigan sits
The same service costs 4.9 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· 25th of 51
$195
AK $398TX $81.28
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.