How much rates vary
Facilitymedian $182 · 10th to 90th $120 to $457Professionalmedian $162 · 10th to 90th $98 to $263
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $141.25 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $79.43 | Professional | 26 · Professional part | $63.10 | $77.62 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $74.13 | $83.18 | $83.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $120.23 Median $177.83 Typical High $309.03 | Facility | None | $120.23 | $177.83 | $309.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $97.72 | $112.20 | $208.93 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
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 $102.33 Median $213.80 Typical High $616.60 | Professional | None (both parts) | $102.33 | $213.80 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $162.18 | Professional | 26 · Professional part | $47.86 | $81.28 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $117.49 Typical High $426.58 | Professional | TC · Technical part | $56.23 | $117.49 | $426.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $158.49 Median $416.87 Typical High $457.09 | Facility | None | $158.49 | $416.87 | $457.09 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $154.88 | $158.49 | $218.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $54.95 | $72.44 | $89.13 |
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 $109.65 Median $199.53 Typical High $616.60 | Professional | None (both parts) | $109.65 | $199.53 | $616.60 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $79.43 | $138.04 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $107.15 Typical High $389.05 | Professional | TC · Technical part | $57.54 | $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 $144.54 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $144.54 | $204.17 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $66.07 | $74.13 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $77.62 | $123.03 | $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 $67.61 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $67.61 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $104.71 Typical High $154.88 | Professional | FX · Film X-ray | $77.62 | $104.71 | $154.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Where Michigan sits
The same service costs 4.5 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· 39th of 51
$162
AK $427UT $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.