How much rates vary
Facilitymedian $219 · 10th to 90th $145 to $575Professionalmedian $182 · 10th to 90th $141 to $219
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 $165.96 Median $165.96 Typical High $208.93 | Facility | None | $165.96 | $165.96 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $323.59 | Facility | TC · Technical part | $107.15 | $190.55 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $144.54 | $165.96 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $57.54 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $100.00 | $109.65 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $371.54 | Facility | None | $144.54 | $213.80 | $371.54 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $218.78 | Professional | None (both parts) | $162.18 | $204.17 | $218.78 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $371.54 | Professional | None (both parts) | $117.49 | $208.93 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $34.67 | $57.54 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $74.13 | $134.90 | $257.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $165.96 Median $416.87 Typical High $616.60 | Facility | None | $165.96 | $416.87 | $616.60 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $245.47 Typical High $323.59 | Facility | TC · Technical part | $109.65 | $245.47 | $323.59 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $141.25 | $162.18 | $218.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $50.12 | $63.10 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $102.33 | $104.71 | $147.91 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $112.20 | $190.55 | $323.59 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $95.50 | Professional | 26 · Professional part | $34.67 | $53.70 | $95.50 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $229.09 | Professional | TC · Technical part | $61.66 | $104.71 | $229.09 |
United Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $245.47 | Facility | None | $89.13 | $117.49 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $144.54 | $181.97 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $50.12 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $128.82 | $158.49 |
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 $75.86 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $30.20 | $33.88 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $114.82 Typical High $218.78 | Professional | FX · Film X-ray | $91.20 | $114.82 | $218.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Where Michigan sits
The same service costs 4.3 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· 26th of 51
$186
AK $447UT $105
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.