How much rates vary
Facilitymedian $871 · 10th to 90th $437 to $1,622Professionalmedian $490 · 10th to 90th $234 to $1,023
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | None (both parts) | $416.87 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | 26 · Professional part | $97.72 | $97.72 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $316.23 | $323.59 | $323.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $457.09 Median $870.96 Typical High $1,737.80 | Facility | None | $457.09 | $870.96 | $1,737.80 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $114.82 Median $549.54 Typical High $1,023.29 | Professional | None (both parts) | $114.82 | $549.54 | $1,023.29 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $537.03 Typical High $1,023.29 | Professional | None (both parts) | $331.13 | $537.03 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $95.50 Typical High $190.55 | Professional | 26 · Professional part | $58.88 | $95.50 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $870.96 | Professional | TC · Technical part | $269.15 | $426.58 | $870.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $426.58 Median $1,122.02 Typical High $1,202.26 | Facility | None | $426.58 | $1,122.02 | $1,202.26 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $912.01 Typical High $1,023.29 | Facility | TC · Technical part | $323.59 | $912.01 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $416.87 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $416.87 | $426.58 | $588.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $63.10 | $85.11 | $104.71 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $346.74 Typical High $467.74 | Professional | TC · Technical part | $323.59 | $346.74 | $467.74 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $467.74 Typical High $912.01 | Professional | None (both parts) | $331.13 | $467.74 | $912.01 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $89.13 | $158.49 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $371.54 Typical High $741.31 | Professional | TC · Technical part | $269.15 | $371.54 | $741.31 |
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 $389.05 Median $512.86 Typical High $660.69 | Professional | None (both parts) | $389.05 | $512.86 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $83.18 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $549.54 | Professional | TC · Technical part | $309.03 | $416.87 | $549.54 |
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 $204.17 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $204.17 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $323.59 Typical High $512.86 | Professional | FX · Film X-ray | $263.03 | $323.59 | $512.86 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $870.96 Median $1,288.25 Typical High $2,187.76 | Facility | 50 · Both sides | $870.96 | $1,288.25 | $2,187.76 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 50 · Both sides | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $588.84 Typical High $977.24 | Professional | 50 · Both sides | $512.86 | $588.84 | $977.24 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $575.44 Typical High $977.24 | Professional | 50 · Both sides | $512.86 | $575.44 | $977.24 |
Where Michigan sits
The same service costs 5.4 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· 27th of 51
$513
WY $1,318UT $245
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.