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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $489.78 Typical High $524.81 | Professional | None (both parts) | $478.63 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $128.82 Typical High $141.25 | Professional | 26 · Professional part | $114.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $354.81 Typical High $371.54 | Professional | TC · Technical part | $338.84 | $354.81 | $371.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $467.74 Median $691.83 Typical High $1,174.90 | Facility | None | $467.74 | $691.83 | $1,174.90 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $501.19 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $588.84 Typical High $1,096.48 | Professional | None (both parts) | $354.81 | $588.84 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $75.86 | $125.89 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $446.68 Typical High $870.96 | Professional | TC · Technical part | $275.42 | $446.68 | $870.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $489.78 Median $1,148.15 Typical High $2,454.71 | Facility | None | $489.78 | $1,148.15 | $2,454.71 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $891.25 Typical High $1,122.02 | Facility | TC · Technical part | $354.81 | $891.25 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $426.58 Median $489.78 Typical High $602.56 | Professional | None (both parts) | $426.58 | $489.78 | $602.56 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $83.18 | $109.65 | $134.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $354.81 Typical High $478.63 | Professional | TC · Technical part | $338.84 | $354.81 | $478.63 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $954.99 | Professional | None (both parts) | $354.81 | $478.63 | $954.99 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $208.93 | Professional | 26 · Professional part | $75.86 | $109.65 | $208.93 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $371.54 Typical High $758.58 | Professional | TC · Technical part | $275.42 | $371.54 | $758.58 |
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 $426.58 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $426.58 | $537.03 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $97.72 | $109.65 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $416.87 Typical High $588.84 | Professional | TC · Technical part | $331.13 | $416.87 | $588.84 |
5 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 $281.84 Median $331.13 Typical High $537.03 | Professional | FX · Film X-ray | $281.84 | $331.13 | $537.03 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $707.95 Typical High $1,202.26 | Facility | 50 · Both sides | $478.63 | $707.95 | $1,202.26 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 50 · Both sides | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $645.65 Typical High $977.24 | Professional | 50 · Both sides | $446.68 | $645.65 | $977.24 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $645.65 Typical High $977.24 | Professional | 50 · Both sides | $446.68 | $645.65 | $977.24 |
Where Michigan sits
The same service costs 6.2 times more in Wyoming 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· 31st of 51
$537
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.