How much rates vary
Facilitymedian $83 · 10th to 90th $41 to $186Professionalmedian $117 · 10th to 90th $60 to $186
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 $177.83 Median $181.97 Typical High $229.09 | Facility | None | $177.83 | $181.97 | $229.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $131.83 Typical High $389.05 | Facility | TC · Technical part | $123.03 | $131.83 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $125.89 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $54.95 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $54.95 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $134.90 | Professional | TC · Technical part | $93.33 | $128.82 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $123.03 | $123.03 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $47.86 | $47.86 | $69.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $138.04 | Facility | None | $53.70 | $81.28 | $138.04 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $50.12 Median $104.71 Typical High $117.49 | Professional | None (both parts) | $50.12 | $104.71 | $117.49 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
CareSource Setting Professional Modifier None (both parts) Typical Low $43.65 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $43.65 | $109.65 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $109.65 | $165.96 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $117.49 | Professional | 26 · Professional part | $33.11 | $48.98 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $245.47 | Professional | TC · Technical part | $79.43 | $114.82 | $245.47 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.02 Median $81.28 Typical High $204.17 | Facility | None | $38.02 | $81.28 | $204.17 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $295.12 | Facility | TC · Technical part | $123.03 | $165.96 | $295.12 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $95.50 | $128.82 | $190.55 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $38.02 | $58.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $93.33 | $134.90 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $100.00 | $144.54 | $269.15 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $26.92 | $39.81 | $77.62 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $74.13 | $104.71 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $117.49 | $154.88 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $44.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $83.18 | $109.65 | $144.54 |
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 $87.10 Median $117.49 Typical High $147.91 | Professional | FX · Film X-ray | $87.10 | $117.49 | $147.91 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $218.78 Typical High $257.04 | Professional | 50 · Both sides | $144.54 | $218.78 | $257.04 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $218.78 Typical High $371.54 | Professional | 50 · Both sides | $144.54 | $218.78 | $371.54 |
Where Michigan sits
The same service costs 5.2 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· 46th of 51
$117
AK $479NY $91.20
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.