How much rates vary
Facilitymedian $363 · 10th to 90th $138 to $708Professionalmedian $138 · 10th to 90th $100 to $195
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 $131.83 Median $134.90 Typical High $141.25 | Facility | None | $131.83 | $134.90 | $141.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $40.74 | Facility | 26 · Professional part | $38.90 | $38.90 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $229.09 | Facility | TC · Technical part | $93.33 | $97.72 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $177.83 | Professional | None (both parts) | $120.23 | $134.90 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $31.62 | $38.90 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $97.72 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | None (both parts) | $93.33 | $93.33 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $33.11 | $47.86 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $363.08 | Facility | None | $141.25 | $208.93 | $363.08 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $50.12 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $50.12 | $181.97 | $194.98 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $30.90 | $93.33 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $93.33 | $138.04 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $25.70 | $40.74 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $204.17 | Professional | TC · Technical part | $66.07 | $95.50 | $204.17 |
Health Alliance Plan Setting Facility Modifier None Typical Low $151.36 Median $398.11 Typical High $707.95 | Facility | None | $151.36 | $398.11 | $707.95 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $77.62 | Facility | 26 · Professional part | $38.90 | $39.81 | $77.62 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $177.83 Typical High $588.84 | Facility | TC · Technical part | $95.50 | $177.83 | $588.84 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $100.00 | $138.04 | $218.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $39.81 | $70.79 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $74.13 | $97.72 | $123.03 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $93.33 | $128.82 | $204.17 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $38.02 | $67.61 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $61.66 | $87.10 | $162.18 |
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 $102.33 Median $125.89 Typical High $151.36 | Professional | None (both parts) | $102.33 | $125.89 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $35.48 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $107.15 | Professional | TC · Technical part | $72.44 | $89.13 | $107.15 |
9 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 $60.26 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $87.10 Typical High $104.71 | Professional | FX · Film X-ray | $75.86 | $87.10 | $104.71 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 59 · Distinct service | $109.65 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | KX · Policy requirements met | $93.33 | $93.33 | $93.33 |
Health Alliance Plan Setting Facility Modifier 59 · Distinct service Typical Low $93.33 Median $144.54 Typical High $338.84 | Facility | 59 · Distinct service | $93.33 | $144.54 | $338.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $144.54 Typical High $489.78 | Professional | 59 · Distinct service | $67.61 | $144.54 | $489.78 |
Where Michigan sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$138
AK $355FL $97.72
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.