How much rates vary
Facilitymedian $224 · 10th to 90th $132 to $468Professionalmedian $151 · 10th to 90th $120 to $204
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 $141.25 Median $144.54 Typical High $181.97 | Facility | None | $141.25 | $144.54 | $181.97 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $295.12 | Facility | TC · Technical part | $100.00 | $109.65 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $107.15 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $52.48 | Professional | 26 · Professional part | $33.88 | $41.69 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $114.82 | Professional | TC · Technical part | $70.79 | $104.71 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
BCBS Michigan Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $416.87 | Facility | None | $162.18 | $239.88 | $416.87 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $144.54 | $194.98 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $104.71 | $154.88 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $42.66 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $251.19 | Professional | TC · Technical part | $69.18 | $112.20 | $251.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $616.60 | Facility | None | $128.82 | $234.42 | $616.60 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $263.03 | Facility | TC · Technical part | $95.50 | $144.54 | $263.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $120.23 | $138.04 | $190.55 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $38.90 | $53.70 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $89.13 | $95.50 | $141.25 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $295.12 | Professional | None (both parts) | $97.72 | $138.04 | $295.12 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $40.74 | $72.44 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $239.88 | Professional | TC · Technical part | $60.26 | $97.72 | $239.88 |
United Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $245.47 | Facility | None | $89.13 | $117.49 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $114.82 | $144.54 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $38.02 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $107.15 | $131.83 |
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 $63.10 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $63.10 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $25.12 | $28.84 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $87.10 Typical High $102.33 | Professional | FX · Film X-ray | $70.79 | $87.10 | $102.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
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 |
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· 25th of 51
$151
AK $363TX $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.