How much rates vary
Facilitymedian $186 · 10th to 90th $117 to $447Professionalmedian $126 · 10th to 90th $95 to $182
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 $158.49 | Facility | None | $123.03 | $125.89 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $79.43 Typical High $181.97 | Facility | TC · Technical part | $75.86 | $79.43 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $104.71 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $46.77 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $64.57 | $77.62 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $93.33 | $131.83 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $50.12 | $60.26 |
BCBS Michigan Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $302.00 | Facility | None | $117.49 | $173.78 | $302.00 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $181.97 | Professional | None (both parts) | $102.33 | $173.78 | $181.97 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $38.02 | $75.86 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $87.10 | $131.83 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $30.90 | $50.12 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $169.82 | Professional | TC · Technical part | $50.12 | $79.43 | $169.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $120.23 Median $208.93 Typical High $489.78 | Facility | None | $120.23 | $208.93 | $489.78 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $97.72 | Facility | 26 · Professional part | $46.77 | $47.86 | $97.72 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $181.97 | Facility | TC · Technical part | $77.62 | $97.72 | $181.97 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $95.50 | $125.89 | $190.55 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $47.86 | $70.79 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $61.66 | $77.62 | $97.72 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $87.10 | $123.03 | $204.17 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $28.84 | $46.77 | $85.11 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $70.79 Typical High $158.49 | Professional | TC · Technical part | $42.66 | $70.79 | $158.49 |
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 $95.50 Median $114.82 Typical High $144.54 | Professional | None (both parts) | $95.50 | $114.82 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $43.65 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $58.88 | $72.44 | $91.20 |
8 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 $61.66 Median $81.28 Typical High $89.13 | Professional | FX · Film X-ray | $61.66 | $81.28 | $89.13 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KX · Policy requirements met | $125.89 | $125.89 | $125.89 |
Health Alliance Plan Setting Facility Modifier XU · Unusual separate service Typical Low $363.08 Median $457.09 Typical High $524.81 | Facility | XU · Unusual separate service | $363.08 | $457.09 | $524.81 |
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 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $72.44 Median $199.53 Typical High $426.58 | Professional | 59 · Distinct service | $72.44 | $199.53 | $426.58 |
Where Michigan sits
The same service costs 4.6 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· 23rd of 51
$126
AK $331UT $72.44
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.