How much rates vary
Facilitymedian $162 · 10th to 90th $69 to $646Professionalmedian $91 · 10th to 90th $63 to $115
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 $69.18 Median $70.79 Typical High $74.13 | Facility | None | $69.18 | $70.79 | $74.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $33.88 | Facility | 26 · Professional part | $32.36 | $33.11 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $83.18 | Facility | TC · Technical part | $37.15 | $38.90 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $70.79 Typical High $123.03 | Professional | None (both parts) | $69.18 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $26.92 | $32.36 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.02 Typical High $75.86 | Professional | TC · Technical part | $37.15 | $38.02 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | None (both parts) | $40.74 | $40.74 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $22.39 | $27.54 | $39.81 |
BCBS Michigan Setting Facility Modifier None Typical Low $56.23 Median $83.18 Typical High $144.54 | Facility | None | $56.23 | $83.18 | $144.54 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $100.00 | Professional | None (both parts) | $70.79 | $93.33 | $100.00 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $25.70 | $39.81 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $87.10 Typical High $177.83 | Professional | None (both parts) | $46.77 | $87.10 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $21.38 | $32.36 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $45.71 Typical High $107.15 | Professional | TC · Technical part | $24.55 | $45.71 | $107.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $70.79 Median $323.59 Typical High $676.08 | Facility | None | $70.79 | $323.59 | $676.08 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $66.07 | Facility | 26 · Professional part | $32.36 | $33.11 | $66.07 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $109.65 Typical High $512.86 | Facility | TC · Technical part | $37.15 | $109.65 | $512.86 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $67.61 | $89.13 | $123.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $31.62 | $46.77 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $66.07 Typical High $87.10 | Professional | TC · Technical part | $35.48 | $66.07 | $87.10 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $75.86 Typical High $169.82 | Professional | None (both parts) | $46.77 | $75.86 | $169.82 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $30.20 | $56.23 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $38.02 Typical High $117.49 | Professional | TC · Technical part | $25.12 | $38.02 | $117.49 |
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 $60.26 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $60.26 | $95.50 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $29.51 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $66.07 Typical High $83.18 | Professional | TC · Technical part | $30.20 | $66.07 | $83.18 |
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 $30.90 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $12.30 | $14.13 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $42.66 Typical High $52.48 | Professional | FX · Film X-ray | $32.36 | $42.66 | $52.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Where Michigan sits
The same service costs 3.8 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· 17th of 51
$93.33
AK $182TX $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.