How much rates vary
Facilitymedian $1,122 · 10th to 90th $398 to $2,239Professionalmedian $447 · 10th to 90th $339 to $977
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 $389.05 Median $398.11 Typical High $416.87 | Facility | None | $389.05 | $398.11 | $416.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $316.23 Typical High $933.25 | Facility | TC · Technical part | $288.40 | $316.23 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $363.08 | $398.11 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $79.43 | $97.72 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $281.84 | $295.12 | $426.58 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
BCBS Michigan Setting Facility Modifier None Typical Low $407.38 Median $851.14 Typical High $1,621.81 | Facility | None | $407.38 | $851.14 | $1,621.81 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $114.82 Median $512.86 Typical High $977.24 | Professional | None (both parts) | $114.82 | $512.86 | $977.24 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $389.05 | $389.05 | $389.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $72.44 | $234.42 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $309.03 | $501.19 | $1,000.00 |
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 $245.47 Median $389.05 Typical High $812.83 | Professional | TC · Technical part | $245.47 | $389.05 | $812.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $407.38 Median $1,621.81 Typical High $2,511.89 | Facility | None | $407.38 | $1,621.81 | $2,511.89 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $100.00 Typical High $186.21 | Facility | 26 · Professional part | $97.72 | $100.00 | $186.21 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $707.95 Typical High $1,659.59 | Facility | TC · Technical part | $295.12 | $707.95 | $1,659.59 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $363.08 | $398.11 | $549.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $89.13 | $134.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $281.84 | $323.59 | $446.68 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $309.03 | $457.09 | $851.14 |
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 $245.47 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $245.47 | $346.74 | $691.83 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $2,187.76 | Facility | None | $812.83 | $1,047.13 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $363.08 | $478.63 | $630.96 |
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 $288.40 Median $389.05 Typical High $537.03 | Professional | TC · Technical part | $288.40 | $389.05 | $537.03 |
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 $194.98 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $194.98 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $77.62 | $79.43 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $309.03 Typical High $512.86 | Professional | FX · Film X-ray | $239.88 | $309.03 | $512.86 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $812.83 Median $1,202.26 Typical High $2,041.74 | Facility | 50 · Both sides | $812.83 | $1,202.26 | $2,041.74 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 50 · Both sides | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $562.34 Typical High $933.25 | Professional | 50 · Both sides | $478.63 | $562.34 | $933.25 |
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $2,137.96 Median $2,454.71 Typical High $2,630.27 | Facility | ME · Imaging: follows guidelines | $2,137.96 | $2,454.71 | $2,630.27 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $549.54 Typical High $933.25 | Professional | 50 · Both sides | $478.63 | $549.54 | $933.25 |
Where Michigan sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 33rd of 51
$457
WY $1,259TX $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.