How much rates vary
Facilitymedian $95 · 10th to 90th $39 to $209Professionalmedian $37 · 10th to 90th $23 to $102
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 $38.02 Median $38.02 Typical High $38.90 | Facility | None | $38.02 | $38.02 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $83.18 | Facility | TC · Technical part | $26.92 | $28.84 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $30.20 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $10.23 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $33.11 | Professional | TC · Technical part | $22.39 | $28.18 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $12.88 | Professional | 26 · Professional part | $8.91 | $8.91 | $12.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $43.65 Median $83.18 Typical High $158.49 | Facility | None | $43.65 | $83.18 | $158.49 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $13.49 Median $95.50 Typical High $102.33 | Professional | None (both parts) | $13.49 | $95.50 | $102.33 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $23.99 Typical High $40.74 | Professional | None (both parts) | $8.13 | $23.99 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $35.48 Typical High $75.86 | Professional | None (both parts) | $23.44 | $35.48 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.72 Typical High $21.38 | Professional | 26 · Professional part | $6.31 | $10.72 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.70 Typical High $58.88 | Professional | TC · Technical part | $16.98 | $25.70 | $58.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.90 Median $154.88 Typical High $302.00 | Facility | None | $38.90 | $154.88 | $302.00 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $19.05 | Facility | 26 · Professional part | $10.23 | $10.47 | $19.05 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $43.65 Typical High $190.55 | Facility | TC · Technical part | $26.92 | $43.65 | $190.55 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $22.91 Median $34.67 Typical High $40.74 | Professional | None (both parts) | $22.91 | $34.67 | $40.74 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.33 Typical High $11.48 | Professional | 26 · Professional part | $6.61 | $9.33 | $11.48 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.44 Typical High $28.84 | Professional | TC · Technical part | $16.60 | $23.44 | $28.84 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $64.57 | Professional | None (both parts) | $23.44 | $30.20 | $64.57 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $6.31 | $9.55 | $17.38 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $46.77 | Professional | TC · Technical part | $16.60 | $21.88 | $46.77 |
United Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $245.47 | Facility | None | $89.13 | $117.49 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $25.12 | $29.51 | $38.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $7.94 | $8.91 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.38 Typical High $28.84 | Professional | TC · Technical part | $17.38 | $21.38 | $28.84 |
10 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 $15.49 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $15.49 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.31 | $7.59 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $23.99 Typical High $30.20 | Professional | FX · Film X-ray | $17.38 | $23.99 | $30.20 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $83.18 Median $120.23 Typical High $204.17 | Facility | 50 · Both sides | $83.18 | $120.23 | $204.17 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 50 · Both sides | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $30.20 Median $43.65 Typical High $45.71 | Professional | 50 · Both sides | $30.20 | $43.65 | $45.71 |
Health Alliance Plan Setting Facility Modifier 50 · Both sides Typical Low $83.18 Median $346.74 Typical High $457.09 | Facility | 50 · Both sides | $83.18 | $346.74 | $457.09 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $30.20 Median $43.65 Typical High $45.71 | Professional | 50 · Both sides | $30.20 | $43.65 | $45.71 |
Where Michigan sits
The same service costs 4.1 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· 25th of 51
$37.15
AK $95.50NY $23.44
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.