How much rates vary
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 $213.80 Median $223.87 Typical High $275.42 | Facility | None | $213.80 | $223.87 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $371.54 | Facility | TC · Technical part | $117.49 | $125.89 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $158.49 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $97.72 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $120.23 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $120.23 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
BCBS Michigan Setting Facility Modifier None Typical Low $181.97 Median $269.15 Typical High $457.09 | Facility | None | $181.97 | $269.15 | $457.09 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $169.82 Median $302.00 Typical High $323.59 | Professional | None (both parts) | $169.82 | $302.00 | $323.59 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $154.88 | $234.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $107.15 Typical High $199.53 | Professional | 26 · Professional part | $66.07 | $107.15 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $269.15 | Professional | TC · Technical part | $72.44 | $123.03 | $269.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $190.55 Median $281.84 Typical High $562.34 | Facility | None | $190.55 | $281.84 | $562.34 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $239.88 Typical High $371.54 | Facility | TC · Technical part | $120.23 | $239.88 | $371.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $165.96 | $218.78 | $275.42 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $69.18 | $91.20 | $114.82 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $97.72 | $120.23 | $154.88 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $154.88 | $218.78 | $363.08 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $66.07 | $97.72 | $177.83 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $251.19 | Professional | TC · Technical part | $70.79 | $109.65 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $181.97 | $204.17 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $91.20 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $141.25 | Professional | TC · Technical part | $107.15 | $120.23 | $141.25 |
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 $97.72 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $38.90 | $43.65 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $141.25 Typical High $154.88 | Professional | FX · Film X-ray | $102.33 | $141.25 | $154.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Where Michigan sits
The same service costs 5.8 times more in Alaska than in Utah. 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
$219
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.