How much rates vary
Facilitymedian $162 · 10th to 90th $112 to $282Professionalmedian $112 · 10th to 90th $83 to $151
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 $117.49 Typical High $144.54 | Facility | None | $112.20 | $117.49 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $93.33 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $28.84 | $34.67 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $83.18 | Professional | TC · Technical part | $64.57 | $79.43 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | 26 · Professional part | $38.02 | $38.02 | $43.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $288.40 | Facility | None | $112.20 | $169.82 | $288.40 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $44.67 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $44.67 | $104.71 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $234.42 | Professional | None (both parts) | $79.43 | $112.20 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $36.31 Typical High $67.61 | Professional | 26 · Professional part | $21.88 | $36.31 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $173.78 | Professional | TC · Technical part | $54.95 | $85.11 | $173.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $281.84 | Facility | None | $117.49 | $162.18 | $281.84 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $147.91 Typical High $251.19 | Facility | TC · Technical part | $79.43 | $147.91 | $251.19 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $134.90 | Professional | None (both parts) | $83.18 | $112.20 | $134.90 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $22.91 | $30.90 | $38.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $60.26 | $79.43 | $97.72 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $77.62 | $107.15 | $208.93 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $21.88 | $33.88 | $58.88 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $165.96 | Professional | TC · Technical part | $54.95 | $70.79 | $165.96 |
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 $85.11 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $85.11 | $107.15 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $31.62 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $93.33 | Professional | TC · Technical part | $58.88 | $75.86 | $93.33 |
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 $63.10 Median $74.13 Typical High $85.11 | Professional | FX · Film X-ray | $63.10 | $74.13 | $85.11 |
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· 29th of 51
$112
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.