How much rates vary
Facilitymedian $78 · 10th to 90th $45 to $631Professionalmedian $44 · 10th to 90th $17 to $66
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 $48.98 Median $50.12 Typical High $52.48 | Facility | None | $48.98 | $50.12 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $33.11 Typical High $93.33 | Facility | TC · Technical part | $30.90 | $33.11 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $48.98 Typical High $60.26 | Professional | None (both parts) | $20.42 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $17.78 Typical High $21.88 | Professional | 26 · Professional part | $7.94 | $17.78 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $32.36 Typical High $36.31 | Professional | TC · Technical part | $12.59 | $32.36 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $21.88 | Professional | 26 · Professional part | $12.88 | $15.14 | $21.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $120.23 | Facility | None | $46.77 | $69.18 | $120.23 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $22.91 Median $63.10 Typical High $70.79 | Professional | None (both parts) | $22.91 | $63.10 | $70.79 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
CareSource Setting Professional Modifier None (both parts) Typical Low $14.13 Median $27.54 Typical High $53.70 | Professional | None (both parts) | $14.13 | $27.54 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $33.11 Typical High $93.33 | Professional | None (both parts) | $16.22 | $33.11 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.18 Typical High $33.88 | Professional | 26 · Professional part | $7.59 | $13.18 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $21.38 Typical High $66.07 | Professional | TC · Technical part | $8.71 | $21.38 | $66.07 |
Health Alliance Plan Setting Facility Modifier None Typical Low $44.67 Median $158.49 Typical High $691.83 | Facility | None | $44.67 | $158.49 | $691.83 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $17.78 Typical High $18.62 | Facility | 26 · Professional part | $16.98 | $17.78 | $18.62 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $70.79 | Facility | TC · Technical part | $23.44 | $32.36 | $70.79 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $14.79 Median $24.55 Typical High $50.12 | Professional | None (both parts) | $14.79 | $24.55 | $50.12 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $6.31 | $10.47 | $18.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $13.80 Typical High $33.11 | Professional | TC · Technical part | $8.71 | $13.80 | $33.11 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $14.79 Median $27.54 Typical High $63.10 | Professional | None (both parts) | $14.79 | $27.54 | $63.10 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.30 Typical High $24.55 | Professional | 26 · Professional part | $7.41 | $12.30 | $24.55 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $18.20 Typical High $53.70 | Professional | TC · Technical part | $8.32 | $18.20 | $53.70 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,548.82 | Facility | None | $562.34 | $724.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $22.39 Typical High $48.98 | Professional | None (both parts) | $18.20 | $22.39 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $17.78 | Professional | 26 · Professional part | $7.59 | $9.33 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $12.59 Typical High $30.90 | Professional | TC · Technical part | $10.23 | $12.59 | $30.90 |
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 $19.95 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $19.95 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $8.13 | $10.00 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $13.49 Median $31.62 Typical High $39.81 | Professional | FX · Film X-ray | $13.49 | $31.62 | $39.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
Where Michigan sits
The same service costs 9.3 times more in Alaska than in New York. 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· 23rd of 51
$43.65
AK $123NY $13.18
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.