How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $229.09 Median $234.42 Typical High $234.42 | Facility | None | $229.09 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $37.15 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $15.49 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $35.48 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $14.13 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $75.86 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $104.71 Typical High $281.84 | Professional | None (both parts) | $42.66 | $104.71 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $36.31 Typical High $102.33 | Professional | 26 · Professional part | $15.14 | $36.31 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $69.18 Typical High $181.97 | Professional | TC · Technical part | $27.54 | $69.18 | $181.97 |
Health Alliance Plan Setting Facility Modifier None Typical Low $77.62 Median $489.78 Typical High $524.81 | Facility | None | $77.62 | $489.78 | $524.81 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $69.18 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $69.18 | $181.97 | $239.88 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $26.92 | $36.31 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $95.50 | Professional | TC · Technical part | $60.26 | $77.62 | $95.50 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $85.11 Typical High $269.15 | Professional | None (both parts) | $42.66 | $85.11 | $269.15 |
United Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $245.47 | Facility | None | $89.13 | $117.49 | $245.47 |
1 more rate 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 FX · Film X-ray Typical Low $21.88 Median $51.29 Typical High $151.36 | Professional | FX · Film X-ray | $21.88 | $51.29 | $151.36 |
Where Michigan sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 10th of 51
$182
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.