How much rates vary
Facilitymedian $117 · 10th to 90th $45 to $257Professionalmedian $45 · 10th to 90th $27 to $123
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 $42.66 Median $44.67 Typical High $46.77 | Facility | None | $42.66 | $44.67 | $46.77 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $8.32 | Facility | 26 · Professional part | $7.94 | $7.94 | $8.32 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $36.31 Typical High $83.18 | Facility | TC · Technical part | $35.48 | $36.31 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $56.23 | Professional | None (both parts) | $32.36 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.94 Typical High $10.72 | Professional | 26 · Professional part | $6.17 | $7.94 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $26.30 | $36.31 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $36.31 | Professional | None (both parts) | $30.90 | $33.11 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.92 Typical High $9.77 | Professional | 26 · Professional part | $6.61 | $6.92 | $9.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $31.62 | $31.62 | $31.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $56.23 Median $112.20 Typical High $218.78 | Facility | None | $56.23 | $112.20 | $218.78 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $60.26 | $87.10 | $123.03 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.31 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $6.31 | $30.90 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $93.33 | Professional | None (both parts) | $25.70 | $38.90 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $8.32 Typical High $16.98 | Professional | 26 · Professional part | $4.90 | $8.32 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $31.62 Typical High $75.86 | Professional | TC · Technical part | $19.05 | $31.62 | $75.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $44.67 Median $131.83 Typical High $257.04 | Facility | None | $44.67 | $131.83 | $257.04 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $15.85 | Facility | 26 · Professional part | $7.94 | $7.94 | $15.85 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $54.95 Typical High $151.36 | Facility | TC · Technical part | $35.48 | $54.95 | $151.36 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $26.92 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $26.92 | $42.66 | $60.26 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.94 Typical High $12.02 | Professional | 26 · Professional part | $5.50 | $7.94 | $12.02 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.88 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $33.88 | $44.67 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $74.13 | Professional | None (both parts) | $25.12 | $34.67 | $74.13 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $7.76 Typical High $13.80 | Professional | 26 · Professional part | $4.90 | $7.76 | $13.80 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.92 Typical High $63.10 | Professional | TC · Technical part | $17.78 | $26.92 | $63.10 |
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 $25.70 Median $34.67 Typical High $45.71 | Professional | None (both parts) | $25.70 | $34.67 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.24 Typical High $9.33 | Professional | 26 · Professional part | $6.31 | $7.24 | $9.33 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $27.54 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $27.54 | $37.15 |
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 $18.20 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $18.20 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.24 | $8.91 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $28.18 Typical High $37.15 | Professional | FX · Film X-ray | $19.50 | $28.18 | $37.15 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $112.20 Median $162.18 Typical High $281.84 | Facility | 50 · Both sides | $112.20 | $162.18 | $281.84 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 50 · Both sides | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $30.90 Median $45.71 Typical High $51.29 | Professional | 50 · Both sides | $30.90 | $45.71 | $51.29 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $30.90 Median $47.86 Typical High $51.29 | Professional | 50 · Both sides | $30.90 | $47.86 | $51.29 |
Where Michigan sits
The same service costs 11.5 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· 21st of 51
$45.71
VT $339FL $29.51
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.