How much rates vary
Facilitymedian $85 · 10th to 90th $85 to $204Professionalmedian $123 · 10th to 90th $100 to $155
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $134.90 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | 26 · Professional part | $74.13 | $74.13 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $60.26 | $63.10 | $63.10 |
BCBS Michigan Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $151.36 | Facility | None | $85.11 | $85.11 | $151.36 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $93.33 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $87.10 | $141.25 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $45.71 | $74.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $63.10 Typical High $117.49 | Professional | TC · Technical part | $39.81 | $63.10 | $117.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $120.23 Median $269.15 Typical High $295.12 | Facility | None | $120.23 | $269.15 | $295.12 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $154.88 | Professional | None (both parts) | $100.00 | $131.83 | $154.88 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $83.18 | Professional | 26 · Professional part | $53.70 | $72.44 | $83.18 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $45.71 | $60.26 | $69.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $85.11 | $141.25 | $229.09 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $44.67 | $72.44 | $125.89 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $54.95 Typical High $107.15 | Professional | TC · Technical part | $39.81 | $54.95 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $107.15 | $138.04 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $69.18 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $69.18 Typical High $100.00 | Professional | TC · Technical part | $50.12 | $69.18 | $100.00 |
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 $67.61 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $67.61 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $26.92 | $27.54 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $87.10 Typical High $107.15 | Professional | FX · Film X-ray | $70.79 | $87.10 | $107.15 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Where Michigan sits
The same service costs 4.5 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· 41st of 51
$123
AK $372FL $83.18
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.