How much rates vary
Facilitymedian $355 · 10th to 90th $174 to $631Professionalmedian $151 · 10th to 90th $91 to $407
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 $120.23 Median $162.18 Typical High $288.40 | Facility | None | $120.23 | $162.18 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $109.65 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $32.36 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $123.03 | Professional | TC · Technical part | $87.10 | $117.49 | $123.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $691.83 | Facility | None | $194.98 | $363.08 | $691.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $165.96 Median $389.05 Typical High $407.38 | Professional | None (both parts) | $165.96 | $389.05 | $407.38 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $141.25 Typical High $316.23 | Professional | None (both parts) | $91.20 | $141.25 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $34.67 Typical High $69.18 | Professional | 26 · Professional part | $19.95 | $34.67 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $67.61 | $109.65 | $263.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $154.88 Median $269.15 Typical High $562.34 | Facility | None | $154.88 | $269.15 | $562.34 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $91.20 | $120.23 | $154.88 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $22.39 | $29.51 | $36.31 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $123.03 | Professional | TC · Technical part | $69.18 | $91.20 | $123.03 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $87.10 | $120.23 | $245.47 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $19.95 | $31.62 | $56.23 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $199.53 | Professional | TC · Technical part | $66.07 | $89.13 | $199.53 |
United Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $977.24 | Facility | None | $354.81 | $467.74 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $93.33 | $120.23 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $24.55 | $28.84 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $67.61 | $87.10 | $120.23 |
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 $64.57 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $97.72 Typical High $128.82 | Professional | FX · Film X-ray | $69.18 | $97.72 | $128.82 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $363.08 Median $537.03 Typical High $912.01 | Facility | 50 · Both sides | $363.08 | $537.03 | $912.01 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 50 · Both sides | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $151.36 Typical High $186.21 | Professional | 50 · Both sides | $112.20 | $151.36 | $186.21 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $165.96 Typical High $186.21 | Professional | 50 · Both sides | $104.71 | $165.96 | $186.21 |
Where Michigan sits
The same service costs 4.2 times more in Alaska than in New York. 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· 23rd of 51
$155
AK $398NY $95.50
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.