How much rates vary
Facilitymedian $62 · 10th to 90th $35 to $148Professionalmedian $123 · 10th to 90th $47 to $174
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 $97.72 Median $102.33 Typical High $302.00 | Facility | TC · Technical part | $97.72 | $102.33 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $134.90 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $46.77 | Professional | 26 · Professional part | $38.90 | $44.67 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $97.72 | $100.00 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | None (both parts) | $93.33 | $93.33 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $38.90 | $38.90 | $56.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $107.15 | Facility | None | $41.69 | $63.10 | $107.15 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $46.77 Median $85.11 Typical High $91.20 | Professional | None (both parts) | $46.77 | $85.11 | $91.20 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $36.31 | $85.11 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $93.33 | $169.82 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $27.54 | $48.98 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $67.61 | $123.03 | $239.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $32.36 Median $58.88 Typical High $151.36 | Facility | None | $32.36 | $58.88 | $151.36 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $134.90 Typical High $263.03 | Facility | TC · Technical part | $97.72 | $134.90 | $263.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $123.03 | $141.25 | $173.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $48.98 | Professional | 26 · Professional part | $33.11 | $43.65 | $48.98 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $125.89 | Professional | TC · Technical part | $89.13 | $97.72 | $125.89 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $93.33 | $165.96 | $302.00 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $30.20 | $46.77 | $85.11 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $69.18 | $120.23 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $134.90 | $158.49 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $40.74 | $45.71 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $147.91 | Professional | TC · Technical part | $95.50 | $112.20 | $147.91 |
3 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 FX · Film X-ray Typical Low $75.86 Median $93.33 Typical High $117.49 | Professional | FX · Film X-ray | $75.86 | $93.33 | $117.49 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $173.78 Median $194.98 Typical High $281.84 | Professional | 50 · Both sides | $173.78 | $194.98 | $281.84 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $173.78 Median $194.98 Typical High $295.12 | Professional | 50 · Both sides | $173.78 | $194.98 | $295.12 |
Where Michigan sits
The same service costs 4.2 times more in Alaska than in New York. 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· 42nd of 51
$123
AK $372NY $89.13
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.