How much rates vary
Facilitymedian $126 · 10th to 90th $39 to $269Professionalmedian $38 · 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 $37.15 Median $38.02 Typical High $39.81 | Facility | None | $37.15 | $38.02 | $39.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $10.00 | Facility | 26 · Professional part | $9.55 | $9.55 | $10.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $28.18 Typical High $64.57 | Facility | TC · Technical part | $27.54 | $28.18 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $28.84 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.55 Typical High $12.88 | Professional | 26 · Professional part | $7.41 | $9.55 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $35.48 | Professional | TC · Technical part | $21.38 | $28.18 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $12.30 | Professional | 26 · Professional part | $8.13 | $10.96 | $12.30 |
BCBS Setting Facility Modifier None Typical Low $45.71 Median $87.10 Typical High $173.78 | Facility | None | $45.71 | $87.10 | $173.78 |
BCBS Setting Professional Modifier None (both parts) Typical Low $12.30 Median $54.95 Typical High $102.33 | Professional | None (both parts) | $12.30 | $54.95 | $102.33 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $17.78 | Professional | 26 · Professional part | $13.18 | $13.18 | $17.78 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $23.99 Typical High $39.81 | Professional | None (both parts) | $7.59 | $23.99 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $35.48 Typical High $79.43 | Professional | None (both parts) | $23.44 | $35.48 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $10.00 Typical High $20.42 | Professional | 26 · Professional part | $5.75 | $10.00 | $20.42 |
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 $39.81 Median $147.91 Typical High $281.84 | Facility | None | $39.81 | $147.91 | $281.84 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $9.77 Typical High $19.05 | Facility | 26 · Professional part | $9.55 | $9.77 | $19.05 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $50.12 Typical High $177.83 | Facility | TC · Technical part | $27.54 | $50.12 | $177.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $23.44 Median $36.31 Typical High $47.86 | Professional | None (both parts) | $23.44 | $36.31 | $47.86 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.33 Typical High $12.88 | Professional | 26 · Professional part | $6.61 | $9.33 | $12.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.92 Typical High $33.11 | Professional | TC · Technical part | $16.98 | $26.92 | $33.11 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.90 Typical High $64.57 | Professional | None (both parts) | $22.91 | $30.90 | $64.57 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $5.89 | $9.33 | $16.60 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.39 Typical High $46.77 | Professional | TC · Technical part | $16.60 | $22.39 | $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 $24.55 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $24.55 | $30.20 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $11.22 | Professional | 26 · Professional part | $7.59 | $8.71 | $11.22 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $29.51 | Professional | TC · Technical part | $16.98 | $21.88 | $29.51 |
9 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 $6.17 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.17 | $7.59 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $23.99 Typical High $29.51 | Professional | FX · Film X-ray | $16.98 | $23.99 | $29.51 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $87.10 Median $125.89 Typical High $218.78 | Facility | 50 · Both sides | $87.10 | $125.89 | $218.78 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 50 · Both sides | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $30.90 Median $42.66 Typical High $46.77 | Professional | 50 · Both sides | $30.90 | $42.66 | $46.77 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
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 $30.90 Median $42.66 Typical High $45.71 | Professional | 50 · Both sides | $30.90 | $42.66 | $45.71 |
Where Michigan sits
The same service costs 6.0 times more in Vermont 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· 25th of 51
$38.02
VT $155FL $25.70
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.