How much rates vary
Facilitymedian $62 · 10th to 90th $25 to $178Professionalmedian $25 · 10th to 90th $19 to $68
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 $24.55 Median $25.12 Typical High $26.30 | Facility | None | $24.55 | $25.12 | $26.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $16.98 Typical High $50.12 | Facility | TC · Technical part | $15.85 | $16.98 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.12 Typical High $33.88 | Professional | None (both parts) | $21.38 | $25.12 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $11.75 | Professional | 26 · Professional part | $6.76 | $8.71 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.60 Typical High $22.39 | Professional | TC · Technical part | $14.79 | $16.60 | $22.39 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $34.67 | Professional | None (both parts) | $16.98 | $16.98 | $34.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $7.59 | Professional | 26 · Professional part | $7.24 | $7.24 | $7.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $25.12 Median $48.98 Typical High $93.33 | Facility | None | $25.12 | $48.98 | $93.33 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $22.39 Median $35.48 Typical High $67.61 | Professional | None (both parts) | $22.39 | $35.48 | $67.61 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $12.02 | $12.02 | $12.02 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | TC · Technical part | $23.99 | $23.99 | $23.99 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.92 Median $13.80 Typical High $26.92 | Professional | None (both parts) | $6.92 | $13.80 | $26.92 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $17.38 | $28.84 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $9.33 Typical High $18.62 | Professional | 26 · Professional part | $5.37 | $9.33 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $19.50 Typical High $37.15 | Professional | TC · Technical part | $11.48 | $19.50 | $37.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $24.55 Median $95.50 Typical High $263.03 | Facility | None | $24.55 | $95.50 | $263.03 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $17.78 | Facility | 26 · Professional part | $8.71 | $9.12 | $17.78 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $32.36 Typical High $134.90 | Facility | TC · Technical part | $16.60 | $32.36 | $134.90 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $19.50 Median $24.55 Typical High $31.62 | Professional | None (both parts) | $19.50 | $24.55 | $31.62 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.94 Typical High $10.47 | Professional | 26 · Professional part | $6.03 | $7.94 | $10.47 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $15.85 Typical High $20.89 | Professional | TC · Technical part | $13.49 | $15.85 | $20.89 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $17.38 Median $24.55 Typical High $52.48 | Professional | None (both parts) | $17.38 | $24.55 | $52.48 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.71 Typical High $15.14 | Professional | 26 · Professional part | $5.37 | $8.71 | $15.14 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $16.98 Typical High $36.31 | Professional | TC · Technical part | $11.48 | $16.98 | $36.31 |
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 $20.42 Median $23.44 Typical High $31.62 | Professional | None (both parts) | $20.42 | $23.44 | $31.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $10.47 | Professional | 26 · Professional part | $6.92 | $7.94 | $10.47 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $15.85 Typical High $20.42 | Professional | TC · Technical part | $12.88 | $15.85 | $20.42 |
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 $10.47 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $10.47 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $4.17 | $5.13 | $5.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.88 Median $16.22 Typical High $19.50 | Professional | FX · Film X-ray | $12.88 | $16.22 | $19.50 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $48.98 Median $72.44 Typical High $123.03 | Facility | 50 · Both sides | $48.98 | $72.44 | $123.03 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 50 · Both sides | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $26.30 Median $34.67 Typical High $42.66 | Professional | 50 · Both sides | $26.30 | $34.67 | $42.66 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.30 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $4.90 | $4.90 | $4.90 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $26.30 Median $34.67 Typical High $37.15 | Professional | 50 · Both sides | $26.30 | $34.67 | $37.15 |
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
$25.70
AK $64.57FL $17.38
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.