How much rates vary
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 $107.15 Median $109.65 Typical High $109.65 | Facility | None | $107.15 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $107.15 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $38.02 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $63.10 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $165.96 | Facility | None | $93.33 | $93.33 | $165.96 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $57.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $57.54 | $144.54 | $144.54 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $52.48 | $52.48 | $61.66 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $93.33 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $72.44 | $117.49 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $26.92 | $39.81 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $44.67 | $74.13 | $138.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $112.20 Median $239.88 Typical High $389.05 | Facility | None | $112.20 | $239.88 | $389.05 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $154.88 Typical High $204.17 | Facility | TC · Technical part | $66.07 | $154.88 | $204.17 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $91.20 | $109.65 | $141.25 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $37.15 | $44.67 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $63.10 | $66.07 | $95.50 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $69.18 | $114.82 | $186.21 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $26.30 | $38.90 | $66.07 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $41.69 | $67.61 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $95.50 | $114.82 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $37.15 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $83.18 | Professional | TC · Technical part | $61.66 | $75.86 | $83.18 |
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 $53.70 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $53.70 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.38 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $70.79 Typical High $87.10 | Professional | FX · Film X-ray | $63.10 | $70.79 | $87.10 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Where Michigan sits
The same service costs 4.5 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
$110
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.