How much rates vary
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 $144.54 Median $147.91 Typical High $154.88 | Facility | None | $144.54 | $147.91 | $154.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $44.67 | Facility | 26 · Professional part | $42.66 | $43.65 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $239.88 | Facility | TC · Technical part | $102.33 | $104.71 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $128.82 | $147.91 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $42.66 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $104.71 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $123.03 | Professional | None (both parts) | $100.00 | $117.49 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $35.48 | $35.48 | $51.29 |
BCBS Michigan Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $389.05 | Facility | None | $151.36 | $223.87 | $389.05 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $53.70 | $194.98 | $208.93 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $33.88 | $91.20 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $100.00 | $162.18 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $26.30 | $45.71 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $77.62 | $117.49 | $229.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $147.91 Median $239.88 Typical High $426.58 | Facility | None | $147.91 | $239.88 | $426.58 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $83.18 | Facility | 26 · Professional part | $42.66 | $43.65 | $83.18 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $218.78 Typical High $489.78 | Facility | TC · Technical part | $102.33 | $218.78 | $489.78 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $102.33 | $144.54 | $218.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $39.81 | $61.66 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $100.00 | $131.83 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $100.00 | $154.88 | $251.19 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $41.69 | $72.44 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $104.71 | $204.17 |
United Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $100.00 | Facility | None | $72.44 | $91.20 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $123.03 | $138.04 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $38.90 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $134.90 | Professional | TC · Technical part | $89.13 | $100.00 | $134.90 |
1 more rate 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 $81.28 Median $95.50 Typical High $123.03 | Professional | FX · Film X-ray | $81.28 | $95.50 | $123.03 |
Where Michigan sits
The same service costs 5.4 times more in Vermont than in Texas. 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· 30th of 51
$148
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.