How much rates vary
Facilitymedian $1,175 · 10th to 90th $490 to $2,818Professionalmedian $537 · 10th to 90th $407 to $1,148
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 $478.63 Median $489.78 Typical High $616.60 | Facility | None | $478.63 | $489.78 | $616.60 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $457.09 Typical High $1,148.15 | Facility | TC · Technical part | $346.74 | $457.09 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $660.69 | Professional | None (both parts) | $436.52 | $489.78 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $165.96 | Professional | 26 · Professional part | $104.71 | $131.83 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $363.08 Typical High $478.63 | Professional | TC · Technical part | $331.13 | $363.08 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $102.33 | $102.33 | $147.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $512.86 Median $977.24 Typical High $1,949.84 | Facility | None | $512.86 | $977.24 | $1,949.84 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $154.88 Median $588.84 Typical High $1,174.90 | Professional | None (both parts) | $154.88 | $588.84 | $1,174.90 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $630.96 Typical High $1,318.26 | Professional | None (both parts) | $380.19 | $630.96 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $77.62 | $125.89 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $501.19 Typical High $1,047.13 | Professional | TC · Technical part | $295.12 | $501.19 | $1,047.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $501.19 Median $2,041.74 Typical High $2,884.03 | Facility | None | $501.19 | $2,041.74 | $2,884.03 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $131.83 Median $134.90 Typical High $245.47 | Facility | 26 · Professional part | $131.83 | $134.90 | $245.47 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $724.44 Typical High $1,202.26 | Facility | TC · Technical part | $363.08 | $724.44 | $1,202.26 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $436.52 Median $501.19 Typical High $691.83 | Professional | None (both parts) | $436.52 | $501.19 | $691.83 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $151.36 | Professional | 26 · Professional part | $83.18 | $117.49 | $151.36 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $407.38 Typical High $549.54 | Professional | TC · Technical part | $331.13 | $407.38 | $549.54 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $562.34 Typical High $1,174.90 | Professional | None (both parts) | $380.19 | $562.34 | $1,174.90 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $120.23 Typical High $208.93 | Professional | 26 · Professional part | $77.62 | $120.23 | $208.93 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $446.68 Typical High $1,047.13 | Professional | TC · Technical part | $295.12 | $446.68 | $1,047.13 |
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 $457.09 Median $616.60 Typical High $977.24 | Professional | None (both parts) | $457.09 | $616.60 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $147.91 | Professional | 26 · Professional part | $100.00 | $109.65 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $501.19 Typical High $812.83 | Professional | TC · Technical part | $346.74 | $501.19 | $812.83 |
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 $239.88 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $95.50 | $97.72 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $338.84 Typical High $549.54 | Professional | FX · Film X-ray | $295.12 | $338.84 | $549.54 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $977.24 Median $1,412.54 Typical High $2,454.71 | Facility | 50 · Both sides | $977.24 | $1,412.54 | $2,454.71 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 50 · Both sides | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $588.84 Median $691.83 Typical High $1,288.25 | Professional | 50 · Both sides | $588.84 | $691.83 | $1,288.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $588.84 Median $691.83 Typical High $1,258.93 | Professional | 50 · Both sides | $588.84 | $691.83 | $1,258.93 |
Where Michigan sits
The same service costs 6.0 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· 30th of 51
$562
WY $1,549UT $257
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.