How much rates vary
Facilitymedian $186 · 10th to 90th $100 to $339Professionalmedian $105 · 10th to 90th $83 to $282
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 $104.71 Typical High $128.82 | Facility | None | $100.00 | $104.71 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $128.82 | Professional | None (both parts) | $91.20 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $32.36 | $38.90 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $79.43 | Professional | TC · Technical part | $56.23 | $63.10 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
BCBS Michigan Setting Facility Modifier None Typical Low $104.71 Median $194.98 Typical High $380.19 | Facility | None | $104.71 | $194.98 | $380.19 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $87.10 | $147.91 | $281.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $93.33 | $93.33 | $93.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $30.90 | $60.26 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $70.79 | $112.20 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $77.62 | Professional | 26 · Professional part | $26.30 | $41.69 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $72.44 Typical High $134.90 | Professional | TC · Technical part | $45.71 | $72.44 | $134.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $93.33 Median $194.98 Typical High $263.03 | Facility | None | $93.33 | $194.98 | $263.03 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $125.89 Typical High $194.98 | Facility | TC · Technical part | $61.66 | $125.89 | $194.98 |
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 $27.54 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $37.15 | $46.77 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $50.12 | $61.66 | $77.62 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $70.79 | $107.15 | $165.96 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $38.90 | $69.18 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $45.71 | $63.10 | $131.83 |
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 $85.11 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $85.11 | $95.50 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $29.51 | $35.48 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $54.95 | $61.66 | $77.62 |
2 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 $48.98 Median $66.07 Typical High $74.13 | Professional | FX · Film X-ray | $48.98 | $66.07 | $74.13 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $61.66 Median $151.36 Typical High $549.54 | Professional | 59 · Distinct service | $61.66 | $151.36 | $549.54 |
Where Michigan sits
The same service costs 3.7 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· 30th of 51
$105
AK $269TX $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.