How much rates vary
Facilitymedian $324 · 10th to 90th $123 to $661Professionalmedian $126 · 10th to 90th $95 to $178
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 $123.03 Median $125.89 Typical High $131.83 | Facility | None | $123.03 | $125.89 | $131.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $33.11 | Facility | 26 · Professional part | $31.62 | $32.36 | $33.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $223.87 | Facility | TC · Technical part | $91.20 | $95.50 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $112.20 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $25.70 | $31.62 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $85.11 | $95.50 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $85.11 | $102.33 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $38.90 | Professional | 26 · Professional part | $25.70 | $32.36 | $38.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $134.90 Median $204.17 Typical High $346.74 | Facility | None | $134.90 | $204.17 | $346.74 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $40.74 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $40.74 | $165.96 | $177.83 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.12 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $25.12 | $91.20 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $85.11 | $131.83 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $20.89 | $33.11 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $204.17 | Professional | TC · Technical part | $63.10 | $97.72 | $204.17 |
Health Alliance Plan Setting Facility Modifier None Typical Low $112.20 Median $371.54 Typical High $691.83 | Facility | None | $112.20 | $371.54 | $691.83 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $63.10 | Facility | 26 · Professional part | $31.62 | $32.36 | $63.10 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $194.98 Typical High $776.25 | Facility | TC · Technical part | $93.33 | $194.98 | $776.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $95.50 | $125.89 | $194.98 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $21.88 | $31.62 | $48.98 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $74.13 | $93.33 | $128.82 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $85.11 | $123.03 | $213.80 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $20.42 | $30.20 | $54.95 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $199.53 | Professional | TC · Technical part | $56.23 | $87.10 | $199.53 |
United Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $295.12 | Facility | None | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $144.54 | Professional | None (both parts) | $93.33 | $117.49 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $28.84 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $109.65 | Professional | TC · Technical part | $70.79 | $89.13 | $109.65 |
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 $56.23 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $56.23 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $81.28 Typical High $100.00 | Professional | FX · Film X-ray | $72.44 | $81.28 | $100.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Where Michigan sits
The same service costs 4.1 times more in Minnesota 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· 24th of 51
$129
MN $363FL $89.13
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.