How much rates vary
Facilitymedian $191 · 10th to 90th $95 to $316Professionalmedian $186 · 10th to 90th $151 to $316
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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $181.97 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $112.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $69.18 | $72.44 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $95.50 Median $190.55 Typical High $288.40 | Facility | None | $95.50 | $190.55 | $288.40 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $158.49 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $158.49 | $316.23 | $316.23 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $128.82 | $190.55 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $208.93 | Professional | 26 · Professional part | $75.86 | $114.82 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $47.86 | $69.18 | $138.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $407.38 | Facility | None | $147.91 | $371.54 | $407.38 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $138.04 | $181.97 | $213.80 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $114.82 | $131.83 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $51.29 | $67.61 | $79.43 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $120.23 | $194.98 | $331.13 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $74.13 | $109.65 | $194.98 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $44.67 | $64.57 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $158.49 | $181.97 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $128.82 | Professional | 26 · Professional part | $95.50 | $107.15 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $74.13 | $147.91 |
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 $95.50 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $95.50 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.02 | $38.90 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $117.49 Typical High $147.91 | Professional | FX · Film X-ray | $93.33 | $117.49 | $147.91 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Where Michigan sits
The same service costs 4.2 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· 27th of 51
$186
AK $501FL $120
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.