How much rates vary
Facilitymedian $12 · 10th to 90th $7 to $39Professionalmedian $13 · 10th to 90th $11 to $19
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 $13.18 Median $13.49 Typical High $16.98 | Facility | None | $13.18 | $13.49 | $16.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.49 Typical High $16.98 | Professional | None (both parts) | $12.02 | $13.49 | $16.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $11.48 | Professional | 26 · Professional part | $8.32 | $9.12 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.47 Typical High $5.25 | Professional | TC · Technical part | $4.17 | $4.47 | $5.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | None (both parts) | $9.55 | $11.22 | $11.22 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.76 |
BCBS Michigan Setting Facility Modifier None Typical Low $6.61 Median $10.00 Typical High $16.98 | Facility | None | $6.61 | $10.00 | $16.98 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $6.17 Median $11.75 Typical High $18.20 | Professional | None (both parts) | $6.17 | $11.75 | $18.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.16 Median $9.12 Typical High $14.45 | Professional | None (both parts) | $3.16 | $9.12 | $14.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.55 Median $15.14 Typical High $30.20 | Professional | None (both parts) | $9.55 | $15.14 | $30.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $10.23 Typical High $19.50 | Professional | 26 · Professional part | $6.17 | $10.23 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $5.01 Typical High $11.22 | Professional | TC · Technical part | $3.02 | $5.01 | $11.22 |
Health Alliance Plan Setting Facility Modifier None Typical Low $9.77 Median $34.67 Typical High $54.95 | Facility | None | $9.77 | $34.67 | $54.95 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $4.17 Median $11.22 Typical High $56.23 | Facility | TC · Technical part | $4.17 | $11.22 | $56.23 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $11.75 Median $13.18 Typical High $19.95 | Professional | None (both parts) | $11.75 | $13.18 | $19.95 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $12.59 | Professional | 26 · Professional part | $7.59 | $9.12 | $12.59 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.47 Typical High $6.46 | Professional | TC · Technical part | $4.17 | $4.47 | $6.46 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $9.55 Median $14.13 Typical High $26.30 | Professional | None (both parts) | $9.55 | $14.13 | $26.30 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $6.31 | $10.00 | $17.78 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $4.79 Typical High $10.96 | Professional | TC · Technical part | $2.88 | $4.79 | $10.96 |
United Setting Facility Modifier None Typical Low $29.51 Median $38.90 Typical High $81.28 | Facility | None | $29.51 | $38.90 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $10.96 Median $12.59 Typical High $18.62 | Professional | None (both parts) | $10.96 | $12.59 | $18.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.71 Typical High $12.30 | Professional | 26 · Professional part | $7.76 | $8.71 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $3.98 Typical High $6.46 | Professional | TC · Technical part | $3.24 | $3.98 | $6.46 |
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 $5.89 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $5.89 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.34 | $2.69 | $2.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $5.75 Median $8.71 Typical High $9.33 | Professional | FX · Film X-ray | $5.75 | $8.71 | $9.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.61 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.63 |
Where Michigan sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 37th of 51
$13.18
AK $35.48FL $9.12
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.