How much rates vary
Facilitymedian $468 · 10th to 90th $295 to $1,072Professionalmedian $295 · 10th to 90th $195 to $437
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 $288.40 Median $295.12 Typical High $371.54 | Facility | None | $288.40 | $295.12 | $371.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $213.80 Typical High $645.65 | Facility | TC · Technical part | $199.53 | $213.80 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $363.08 | Professional | None (both parts) | $234.42 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $91.20 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $204.17 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Ambetter 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 Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $776.25 | Facility | None | $302.00 | $446.68 | $776.25 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $436.52 | Professional | None (both parts) | $281.84 | $407.38 | $436.52 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | 26 · Professional part | $128.82 | $128.82 | $177.83 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $72.44 | $194.98 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $181.97 | $281.84 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $60.26 | $97.72 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $199.53 Typical High $436.52 | Professional | TC · Technical part | $100.00 | $199.53 | $436.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $295.12 Median $758.58 Typical High $1,318.26 | Facility | None | $295.12 | $758.58 | $1,318.26 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $288.40 Typical High $489.78 | Facility | TC · Technical part | $204.17 | $288.40 | $489.78 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $173.78 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $173.78 | $288.40 | $407.38 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $85.11 | $114.82 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $173.78 | $245.47 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $177.83 | $269.15 | $457.09 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $91.20 | $162.18 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $91.20 | $190.55 | $338.84 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,548.82 | Facility | None | $562.34 | $724.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $177.83 | $263.03 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $83.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $181.97 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $181.97 | $229.09 |
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 $131.83 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $131.83 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $52.48 | $58.88 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $190.55 Typical High $218.78 | Professional | FX · Film X-ray | $165.96 | $190.55 | $218.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Where Michigan sits
The same service costs 5.0 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
$295
AK $794UT $158
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.