How much rates vary
Facilitymedian $78 · 10th to 90th $39 to $363Professionalmedian $51 · 10th to 90th $37 to $74
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 $50.12 Median $52.48 Typical High $74.13 | Facility | None | $50.12 | $52.48 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $74.13 | Facility | TC · Technical part | $22.91 | $24.55 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $45.71 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $22.91 | $26.92 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.99 Typical High $29.51 | Professional | TC · Technical part | $21.88 | $23.99 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.44 | $23.99 | $23.99 |
BCBS Michigan Setting Facility Modifier None Typical Low $34.67 Median $52.48 Typical High $89.13 | Facility | None | $34.67 | $52.48 | $89.13 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $37.15 Median $69.18 Typical High $74.13 | Professional | None (both parts) | $37.15 | $69.18 | $74.13 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $18.20 Median $28.84 Typical High $54.95 | Professional | None (both parts) | $18.20 | $28.84 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $63.10 Typical High $120.23 | Professional | None (both parts) | $37.15 | $63.10 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $18.20 | $29.51 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.84 Typical High $72.44 | Professional | TC · Technical part | $17.78 | $28.84 | $72.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $52.48 Median $162.18 Typical High $489.78 | Facility | None | $52.48 | $162.18 | $489.78 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $35.48 Typical High $56.23 | Facility | TC · Technical part | $23.99 | $35.48 | $56.23 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $75.86 | Professional | None (both parts) | $34.67 | $51.29 | $75.86 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $19.05 | $26.92 | $38.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $23.99 Typical High $30.20 | Professional | TC · Technical part | $15.49 | $23.99 | $30.20 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $37.15 | $58.88 | $102.33 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $18.20 | $28.18 | $48.98 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.92 Typical High $72.44 | Professional | TC · Technical part | $18.20 | $26.92 | $72.44 |
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 $45.71 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $45.71 | $52.48 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $32.36 | Professional | 26 · Professional part | $21.38 | $25.70 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $20.89 | $26.92 | $41.69 |
3 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 FX · Film X-ray Typical Low $25.12 Median $33.11 Typical High $36.31 | Professional | FX · Film X-ray | $25.12 | $33.11 | $36.31 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | KX · Policy requirements met | $51.29 | $51.29 | $51.29 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $38.02 Median $54.95 Typical High $263.03 | Professional | 59 · Distinct service | $38.02 | $54.95 | $263.03 |
Where Michigan sits
The same service costs 4.5 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· 35th of 51
$51.29
AK $141UT $31.62
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.