How much rates vary
Facilitymedian $182 · 10th to 90th $93 to $380Professionalmedian $93 · 10th to 90th $63 to $245
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 $91.20 Median $93.33 Typical High $93.33 | Facility | None | $91.20 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $83.18 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $30.90 | Professional | 26 · Professional part | $25.70 | $30.20 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $56.23 | $63.10 | $63.10 |
BCBS Michigan Setting Facility Modifier None Typical Low $95.50 Median $190.55 Typical High $363.08 | Facility | None | $95.50 | $190.55 | $363.08 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $85.11 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $85.11 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $64.57 | $100.00 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $19.05 | $33.11 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $42.66 | $75.86 | $144.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $97.72 Median $162.18 Typical High $177.83 | Facility | None | $97.72 | $162.18 | $177.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $60.26 | $81.28 | $107.15 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $28.18 | $39.81 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $39.81 | $52.48 | $67.61 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $64.57 | $85.11 | $154.88 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $19.05 | $30.90 | $53.70 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $107.15 | Professional | TC · Technical part | $41.69 | $60.26 | $107.15 |
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 $77.62 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $77.62 | $87.10 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $27.54 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $79.43 | Professional | TC · Technical part | $51.29 | $54.95 | $79.43 |
8 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 $40.74 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $40.74 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $16.22 | $18.62 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $61.66 Typical High $77.62 | Professional | FX · Film X-ray | $50.12 | $61.66 | $77.62 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $190.55 Median $275.42 Typical High $467.74 | Facility | 50 · Both sides | $190.55 | $275.42 | $467.74 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $112.20 Typical High $169.82 | Professional | 50 · Both sides | $95.50 | $112.20 | $169.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $112.20 Typical High $169.82 | Professional | 50 · Both sides | $95.50 | $112.20 | $169.82 |
Where Michigan sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 34th of 51
$93.33
AK $251FL $67.61
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.