How much rates vary
Facilitymedian $105 · 10th to 90th $69 to $214Professionalmedian $102 · 10th to 90th $78 to $148
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 $100.00 Median $102.33 Typical High $125.89 | Facility | None | $100.00 | $102.33 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $128.82 | Professional | None (both parts) | $89.13 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $53.70 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $45.71 Typical High $57.54 | Professional | TC · Technical part | $44.67 | $45.71 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
BCBS Michigan Setting Facility Modifier None Typical Low $69.18 Median $102.33 Typical High $173.78 | Facility | None | $69.18 | $102.33 | $173.78 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $72.44 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $72.44 | $138.04 | $147.91 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $93.33 | Professional | TC · Technical part | $69.18 | $69.18 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $70.79 | $114.82 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $36.31 | $58.88 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $53.70 Typical High $117.49 | Professional | TC · Technical part | $34.67 | $53.70 | $117.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $229.09 | Facility | None | $100.00 | $151.36 | $229.09 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $93.33 Typical High $144.54 | Facility | TC · Technical part | $46.77 | $93.33 | $144.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $77.62 | $102.33 | $128.82 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $52.48 | $66.07 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $61.66 | Professional | TC · Technical part | $40.74 | $46.77 | $61.66 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $204.17 | Professional | None (both parts) | $70.79 | $109.65 | $204.17 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $36.31 | $56.23 | $102.33 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $138.04 | Professional | TC · Technical part | $35.48 | $48.98 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $89.13 | $102.33 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $50.12 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $50.12 | $63.10 |
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 $44.67 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $17.78 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $64.57 Typical High $72.44 | Professional | FX · Film X-ray | $48.98 | $64.57 | $72.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Where Michigan sits
The same service costs 4.2 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
$102
AK $275TX $66.07
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.