How much rates vary
Facilitymedian $955 · 10th to 90th $380 to $1,950Professionalmedian $437 · 10th to 90th $295 to $891
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 $380.19 Median $380.19 Typical High $478.63 | Facility | None | $380.19 | $380.19 | $478.63 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $316.23 Typical High $870.96 | Facility | TC · Technical part | $295.12 | $316.23 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $354.81 | $380.19 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $83.18 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $281.84 | $302.00 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $239.88 | Professional | None (both parts) | $234.42 | $234.42 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $416.87 Median $831.76 Typical High $1,584.89 | Facility | None | $416.87 | $831.76 | $1,584.89 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $467.74 Typical High $933.25 | Professional | None (both parts) | $97.72 | $467.74 | $933.25 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $398.11 | $398.11 | $398.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $60.26 | $239.88 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $288.40 | $478.63 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $48.98 | $79.43 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $389.05 Typical High $758.58 | Professional | TC · Technical part | $229.09 | $389.05 | $758.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $380.19 Median $1,258.93 Typical High $2,041.74 | Facility | None | $380.19 | $1,258.93 | $2,041.74 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $154.88 | Facility | 26 · Professional part | $81.28 | $83.18 | $154.88 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $512.86 Typical High $870.96 | Facility | TC · Technical part | $295.12 | $512.86 | $870.96 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $354.81 | $380.19 | $575.44 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $74.13 | $120.23 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $275.42 | $323.59 | $446.68 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $416.87 Typical High $812.83 | Professional | None (both parts) | $281.84 | $416.87 | $812.83 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $74.13 | $131.83 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $331.13 | $676.08 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $676.08 | Facility | None | $245.47 | $323.59 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $467.74 Typical High $575.44 | Professional | None (both parts) | $354.81 | $467.74 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $69.18 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $389.05 Typical High $501.19 | Professional | TC · Technical part | $281.84 | $389.05 | $501.19 |
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 $186.21 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $186.21 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $295.12 Typical High $512.86 | Professional | FX · Film X-ray | $223.87 | $295.12 | $512.86 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $831.76 Median $1,202.26 Typical High $2,041.74 | Facility | 50 · Both sides | $831.76 | $1,202.26 | $2,041.74 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 50 · Both sides | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $524.81 Typical High $812.83 | Professional | 50 · Both sides | $457.09 | $524.81 | $812.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $524.81 Typical High $812.83 | Professional | 50 · Both sides | $457.09 | $524.81 | $812.83 |
Where Michigan sits
The same service costs 5.1 times more in Wyoming than in Utah. 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· 31st of 51
$447
WY $1,202UT $234
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.