How much rates vary
Facilitymedian $117 · 10th to 90th $41 to $200Professionalmedian $40 · 10th to 90th $26 to $107
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 $38.90 Typical High $40.74 | Facility | None | $38.02 | $38.90 | $40.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $10.72 | Facility | 26 · Professional part | $9.55 | $9.55 | $10.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $69.18 | Facility | TC · Technical part | $28.18 | $30.20 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $50.12 | Professional | None (both parts) | $30.90 | $38.90 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $12.88 | Professional | 26 · Professional part | $7.76 | $9.55 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $22.91 | $29.51 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $26.92 Typical High $64.57 | Professional | None (both parts) | $23.44 | $26.92 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $8.51 | $12.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $47.86 Median $89.13 Typical High $173.78 | Facility | None | $47.86 | $89.13 | $173.78 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $39.81 | $56.23 | $107.15 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $18.62 | Professional | 26 · Professional part | $13.80 | $13.80 | $18.62 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $25.12 Typical High $41.69 | Professional | None (both parts) | $7.59 | $25.12 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $37.15 Typical High $83.18 | Professional | None (both parts) | $25.12 | $37.15 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $10.23 Typical High $20.89 | Professional | 26 · Professional part | $5.75 | $10.23 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $27.54 Typical High $63.10 | Professional | TC · Technical part | $18.20 | $27.54 | $63.10 |
Health Alliance Plan Setting Facility Modifier None Typical Low $40.74 Median $131.83 Typical High $213.80 | Facility | None | $40.74 | $131.83 | $213.80 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $9.77 Typical High $22.91 | Facility | 26 · Professional part | $9.55 | $9.77 | $22.91 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $69.18 Typical High $147.91 | Facility | TC · Technical part | $28.84 | $69.18 | $147.91 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $46.77 | Professional | None (both parts) | $26.30 | $38.02 | $46.77 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $12.88 | Professional | 26 · Professional part | $7.76 | $9.55 | $12.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.84 Typical High $32.36 | Professional | TC · Technical part | $18.62 | $28.84 | $32.36 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $72.44 | Professional | None (both parts) | $24.55 | $31.62 | $72.44 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.77 Typical High $18.62 | Professional | 26 · Professional part | $5.89 | $9.77 | $18.62 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $51.29 | Professional | TC · Technical part | $18.20 | $23.99 | $51.29 |
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 $31.62 Typical High $42.66 | Professional | None (both parts) | $25.12 | $31.62 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $11.75 | Professional | 26 · Professional part | $7.59 | $8.71 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.44 Typical High $30.90 | Professional | TC · Technical part | $17.78 | $23.44 | $30.90 |
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 $16.22 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $16.22 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.46 | $7.76 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $25.12 Typical High $30.90 | Professional | FX · Film X-ray | $17.78 | $25.12 | $30.90 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $89.13 Median $131.83 Typical High $223.87 | Facility | 50 · Both sides | $89.13 | $131.83 | $223.87 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 50 · Both sides | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $31.62 Median $44.67 Typical High $47.86 | Professional | 50 · Both sides | $31.62 | $44.67 | $47.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $31.62 Median $44.67 Typical High $47.86 | Professional | 50 · Both sides | $31.62 | $44.67 | $47.86 |
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· 24th of 51
$39.81
AK $100FL $26.92
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.