How much rates vary
Facilitymedian $427 · 10th to 90th $275 to $3,890Professionalmedian $398 · 10th to 90th $107 to $3,631
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 $3,630.78 Median $3,630.78 Typical High $4,677.35 | Facility | None | $3,630.78 | $3,630.78 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $3,630.78 Typical High $3,715.35 | Professional | None (both parts) | $208.93 | $3,630.78 | $3,715.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $83.18 | $109.65 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $3,630.78 Typical High $3,715.35 | Professional | TC · Technical part | $93.33 | $3,630.78 | $3,715.35 |
BCBS Michigan Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $707.95 | Facility | None | $275.42 | $416.87 | $707.95 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $245.47 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $245.47 | $416.87 | $416.87 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $158.49 Typical High $398.11 | Professional | None (both parts) | $102.33 | $158.49 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $112.20 Typical High $223.87 | Professional | 26 · Professional part | $69.18 | $112.20 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $56.23 Typical High $177.83 | Professional | TC · Technical part | $33.88 | $56.23 | $177.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $269.15 Median $645.65 Typical High $6,760.83 | Facility | None | $269.15 | $645.65 | $6,760.83 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $3,890.45 Typical High $10,232.93 | Facility | TC · Technical part | $91.20 | $3,890.45 | $10,232.93 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $3,311.31 | Professional | None (both parts) | $102.33 | $154.88 | $3,311.31 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $97.72 | $125.89 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $52.48 Typical High $3,235.94 | Professional | TC · Technical part | $33.88 | $52.48 | $3,235.94 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $97.72 | $147.91 | $257.04 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $100.00 | $169.82 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $47.86 Typical High $89.13 | Professional | TC · Technical part | $33.88 | $47.86 | $89.13 |
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 $112.20 Median $851.14 Typical High $2,187.76 | Professional | None (both parts) | $112.20 | $851.14 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $74.13 | $89.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $758.58 Typical High $2,137.96 | Professional | TC · Technical part | $37.15 | $758.58 | $2,137.96 |
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 $1,318.26 Median $1,862.09 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,318.26 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $741.31 Typical High $741.31 | Professional | 53 · Discontinued | $524.81 | $741.31 | $741.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $436.52 Median $2,238.72 Typical High $3,467.37 | Professional | FX · Film X-ray | $436.52 | $2,238.72 | $3,467.37 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,659.59 | $1,659.59 | $1,659.59 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $660.69 | $660.69 | $660.69 |
Where Michigan sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 27th of 51
$398
CO $3,467NM $132
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.