How much rates vary
Facilitymedian $339 · 10th to 90th $115 to $692Professionalmedian $115 · 10th to 90th $100 to $162
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 $112.20 Median $114.82 Typical High $134.90 | Facility | None | $112.20 | $114.82 | $134.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $37.15 | Facility | 26 · Professional part | $35.48 | $36.31 | $37.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $186.21 | Facility | TC · Technical part | $77.62 | $81.28 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $112.20 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $35.48 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $79.43 Typical High $104.71 | Professional | TC · Technical part | $77.62 | $79.43 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None (both parts) | $74.13 | $74.13 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $43.65 | Professional | 26 · Professional part | $30.20 | $39.81 | $43.65 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $66.07 | $66.07 | $66.07 |
BCBS Michigan Setting Facility Modifier None Typical Low $114.82 Median $169.82 Typical High $295.12 | Facility | None | $114.82 | $169.82 | $295.12 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $162.18 | Professional | None (both parts) | $107.15 | $151.36 | $162.18 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.18 Median $77.62 Typical High $123.03 | Professional | None (both parts) | $28.18 | $77.62 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $66.07 | $117.49 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $23.99 | $36.31 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $74.13 Typical High $204.17 | Professional | TC · Technical part | $36.31 | $74.13 | $204.17 |
Health Alliance Plan Setting Facility Modifier None Typical Low $114.82 Median $416.87 Typical High $691.83 | Facility | None | $114.82 | $416.87 | $691.83 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $72.44 | Facility | 26 · Professional part | $35.48 | $36.31 | $72.44 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $154.88 Typical High $257.04 | Facility | TC · Technical part | $77.62 | $154.88 | $257.04 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $100.00 | $114.82 | $169.82 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $25.12 | $35.48 | $58.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $74.13 | $79.43 | $114.82 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $60.26 | $112.20 | $204.17 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $23.99 | $34.67 | $63.10 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $69.18 Typical High $181.97 | Professional | TC · Technical part | $33.11 | $69.18 | $181.97 |
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 $79.43 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $79.43 | $107.15 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $28.18 | $32.36 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $42.66 | $74.13 | $97.72 |
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 $51.29 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $74.13 Typical High $91.20 | Professional | FX · Film X-ray | $41.69 | $74.13 | $91.20 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Where Michigan sits
The same service costs 4.2 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· 27th of 51
$115
AK $302UT $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.