How much rates vary
Facilitymedian $245 · 10th to 90th $245 to $437Professionalmedian $110 · 10th to 90th $66 to $302
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 $288.40 Median $295.12 Typical High $295.12 | Facility | None | $288.40 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $288.40 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | 26 · Professional part | $46.77 | $46.77 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $275.42 | $281.84 | $281.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $436.52 | Facility | None | $245.47 | $245.47 | $436.52 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $63.10 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $74.13 | $112.20 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $29.51 | $45.71 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $66.07 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $66.07 | $125.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $269.15 | Facility | None | $213.80 | $251.19 | $269.15 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $269.15 | Professional | None (both parts) | $85.11 | $114.82 | $269.15 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $53.70 | Professional | 26 · Professional part | $35.48 | $46.77 | $53.70 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $257.04 | Professional | TC · Technical part | $50.12 | $67.61 | $257.04 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $72.44 | $109.65 | $177.83 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $28.84 | $44.67 | $79.43 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $58.88 | $112.20 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $676.08 | Facility | None | $245.47 | $323.59 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $85.11 | $245.47 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $42.66 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $51.29 | $208.93 | $263.03 |
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 $144.54 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $144.54 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $181.97 Typical High $234.42 | Professional | FX · Film X-ray | $125.89 | $181.97 | $234.42 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Where Michigan sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 50th of 51
$112
NE $407NJ $112
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.