How much rates vary
Facilitymedian $162 · 10th to 90th $66 to $603Professionalmedian $78 · 10th to 90th $51 to $105
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 $66.07 Median $67.61 Typical High $74.13 | Facility | None | $66.07 | $67.61 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $36.31 Typical High $102.33 | Facility | TC · Technical part | $34.67 | $36.31 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $66.07 | $67.61 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $31.62 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $35.48 Typical High $64.57 | Professional | TC · Technical part | $34.67 | $35.48 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $28.18 | $42.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $141.25 | Facility | None | $54.95 | $83.18 | $141.25 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $48.98 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $48.98 | $89.13 | $100.00 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.12 Median $37.15 Typical High $72.44 | Professional | None (both parts) | $25.12 | $37.15 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $48.98 | $89.13 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $19.95 | $31.62 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $56.23 Typical High $114.82 | Professional | TC · Technical part | $25.70 | $56.23 | $114.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $69.18 Median $269.15 Typical High $660.69 | Facility | None | $69.18 | $269.15 | $660.69 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $63.10 | Facility | 26 · Professional part | $31.62 | $33.88 | $63.10 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $48.98 Typical High $144.54 | Facility | TC · Technical part | $34.67 | $48.98 | $144.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $112.20 | Professional | None (both parts) | $66.07 | $70.79 | $112.20 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $31.62 | $43.65 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $48.98 Typical High $75.86 | Professional | TC · Technical part | $32.36 | $48.98 | $75.86 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $48.98 | $89.13 | $144.54 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $19.95 | $29.51 | $53.70 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $56.23 Typical High $107.15 | Professional | TC · Technical part | $25.70 | $56.23 | $107.15 |
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 $74.13 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $74.13 | $83.18 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $37.15 | Professional | 26 · Professional part | $23.44 | $29.51 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $47.86 | $56.23 | $72.44 |
6 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 $33.11 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.11 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.18 | $13.49 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $42.66 Typical High $63.10 | Professional | FX · Film X-ray | $34.67 | $42.66 | $63.10 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $22.91 Median $51.29 Typical High $245.47 | Facility | 52 · Reduced service | $22.91 | $51.29 | $245.47 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Where Michigan sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 31st of 51
$79.43
AK $195TX $47.86
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.