How much rates vary
Facilitymedian $81 · 10th to 90th $37 to $170Professionalmedian $35 · 10th to 90th $22 to $98
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 $35.48 Median $36.31 Typical High $45.71 | Facility | None | $35.48 | $36.31 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $27.54 Typical High $61.66 | Facility | TC · Technical part | $25.70 | $27.54 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $46.77 | Professional | None (both parts) | $27.54 | $36.31 | $46.77 |
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 $20.42 Median $26.92 Typical High $33.11 | Professional | TC · Technical part | $20.42 | $26.92 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $9.77 | $15.85 | $15.85 |
BCBS Michigan Setting Facility Modifier None Typical Low $40.74 Median $77.62 Typical High $162.18 | Facility | None | $40.74 | $77.62 | $162.18 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $12.30 Median $52.48 Typical High $97.72 | Professional | None (both parts) | $12.30 | $52.48 | $97.72 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $13.18 | $13.18 | $13.18 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $22.91 Typical High $38.90 | Professional | None (both parts) | $7.59 | $22.91 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.88 Typical High $77.62 | Professional | None (both parts) | $22.91 | $33.88 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $10.23 Typical High $20.42 | Professional | 26 · Professional part | $5.75 | $10.23 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $25.12 Typical High $56.23 | Professional | TC · Technical part | $16.22 | $25.12 | $56.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $37.15 Median $112.20 Typical High $169.82 | Facility | None | $37.15 | $112.20 | $169.82 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $10.00 Typical High $19.05 | Facility | 26 · Professional part | $9.55 | $10.00 | $19.05 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $144.54 Typical High $257.04 | Facility | TC · Technical part | $26.92 | $144.54 | $257.04 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $22.39 Median $35.48 Typical High $42.66 | Professional | None (both parts) | $22.39 | $35.48 | $42.66 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $11.48 | Professional | 26 · Professional part | $6.61 | $8.71 | $11.48 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $25.12 Typical High $29.51 | Professional | TC · Technical part | $16.22 | $25.12 | $29.51 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.20 Typical High $61.66 | Professional | None (both parts) | $21.88 | $30.20 | $61.66 |
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 $15.49 Median $21.38 Typical High $44.67 | Professional | TC · Technical part | $15.49 | $21.38 | $44.67 |
United Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $295.12 | Facility | None | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $38.02 | Professional | None (both parts) | $23.99 | $28.84 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $11.22 | Professional | 26 · Professional part | $7.24 | $8.51 | $11.22 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.42 Typical High $27.54 | Professional | TC · Technical part | $16.98 | $20.42 | $27.54 |
10 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 $15.14 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $15.14 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.03 | $7.24 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $23.44 Typical High $28.84 | Professional | FX · Film X-ray | $16.22 | $23.44 | $28.84 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $81.28 Median $117.49 Typical High $199.53 | Facility | 50 · Both sides | $81.28 | $117.49 | $199.53 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 50 · Both sides | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $30.20 Median $42.66 Typical High $44.67 | Professional | 50 · Both sides | $30.20 | $42.66 | $44.67 |
Health Alliance Plan Setting Facility Modifier 50 · Both sides Typical Low $47.86 Median $263.03 Typical High $446.68 | Facility | 50 · Both sides | $47.86 | $263.03 | $446.68 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.38 | $17.78 | $17.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $30.20 Median $42.66 Typical High $44.67 | Professional | 50 · Both sides | $30.20 | $42.66 | $44.67 |
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· 25th of 51
$36.31
AK $91.20FL $24.55
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.