How much rates vary
Facilitymedian $204 · 10th to 90th $135 to $355Professionalmedian $135 · 10th to 90th $102 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 $128.82 Median $128.82 Typical High $165.96 | Facility | None | $128.82 | $128.82 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $117.49 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $39.81 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $91.20 Typical High $114.82 | Professional | TC · Technical part | $83.18 | $91.20 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $91.20 | $112.20 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $35.48 | $35.48 | $42.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $134.90 Median $204.17 Typical High $346.74 | Facility | None | $134.90 | $204.17 | $346.74 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $53.70 | $181.97 | $194.98 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $89.13 Typical High $141.25 | Professional | None (both parts) | $31.62 | $89.13 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $93.33 | $138.04 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $26.92 | $40.74 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $194.98 | Professional | TC · Technical part | $63.10 | $93.33 | $194.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $131.83 Median $275.42 Typical High $537.03 | Facility | None | $131.83 | $275.42 | $537.03 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $199.53 Typical High $288.40 | Facility | TC · Technical part | $91.20 | $199.53 | $288.40 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $102.33 | $131.83 | $169.82 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $39.81 | $48.98 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $114.82 | Professional | TC · Technical part | $74.13 | $91.20 | $114.82 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $93.33 | $125.89 | $218.78 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $38.90 | $72.44 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $63.10 | $83.18 | $186.21 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $676.08 | Facility | None | $245.47 | $323.59 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $102.33 | $120.23 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $30.20 | $37.15 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $109.65 | Professional | TC · Technical part | $72.44 | $85.11 | $109.65 |
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 $58.88 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $85.11 Typical High $100.00 | Professional | FX · Film X-ray | $74.13 | $85.11 | $100.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Where Michigan sits
The same service costs 3.9 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· 27th of 51
$135
AK $347TX $89.13
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.