How much rates vary
Facilitymedian $110 · 10th to 90th $41 to $224Professionalmedian $39 · 10th to 90th $25 to $107
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 $38.02 Median $38.90 Typical High $41.69 | Facility | None | $38.02 | $38.90 | $41.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $11.22 | Facility | 26 · Professional part | $9.55 | $9.55 | $11.22 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $30.20 Typical High $69.18 | Facility | TC · Technical part | $28.84 | $30.20 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $51.29 | Professional | None (both parts) | $30.90 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $12.88 | Professional | 26 · Professional part | $7.94 | $9.55 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $37.15 | Professional | TC · Technical part | $22.39 | $30.20 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | None (both parts) | $32.36 | $32.36 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $8.13 | $9.33 | $12.30 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | TC · Technical part | $21.88 | $21.88 | $25.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $48.98 Median $91.20 Typical High $173.78 | Facility | None | $48.98 | $91.20 | $173.78 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $12.30 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $12.30 | $56.23 | $107.15 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $13.18 | $13.18 | $13.18 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $43.65 | $43.65 | $43.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $25.70 Typical High $41.69 | Professional | None (both parts) | $7.59 | $25.70 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $38.02 Typical High $85.11 | Professional | None (both parts) | $24.55 | $38.02 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $10.47 Typical High $20.42 | Professional | 26 · Professional part | $5.89 | $10.47 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.84 Typical High $64.57 | Professional | TC · Technical part | $17.78 | $28.84 | $64.57 |
Health Alliance Plan Setting Facility Modifier None Typical Low $43.65 Median $120.23 Typical High $245.47 | Facility | None | $43.65 | $120.23 | $245.47 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $9.77 Typical High $23.44 | Facility | 26 · Professional part | $9.55 | $9.77 | $23.44 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $69.18 Typical High $181.97 | Facility | TC · Technical part | $28.84 | $69.18 | $181.97 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $53.70 | Professional | None (both parts) | $25.70 | $38.90 | $53.70 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $9.55 | $13.80 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $27.54 Typical High $35.48 | Professional | TC · Technical part | $17.78 | $27.54 | $35.48 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $24.55 | $33.11 | $63.10 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $10.23 Typical High $19.05 | Professional | 26 · Professional part | $5.89 | $10.23 | $19.05 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $48.98 | Professional | TC · Technical part | $17.38 | $23.99 | $48.98 |
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 $25.12 Median $32.36 Typical High $43.65 | Professional | None (both parts) | $25.12 | $32.36 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $7.94 | $8.91 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.44 Typical High $31.62 | Professional | TC · Technical part | $17.38 | $23.44 | $31.62 |
11 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 $16.60 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $16.60 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $6.61 | $7.94 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $25.12 Typical High $31.62 | Professional | FX · Film X-ray | $19.05 | $25.12 | $31.62 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $91.20 Median $131.83 Typical High $223.87 | Facility | 50 · Both sides | $91.20 | $131.83 | $223.87 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 50 · Both sides | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $31.62 Median $44.67 Typical High $48.98 | Professional | 50 · Both sides | $31.62 | $44.67 | $48.98 |
Health Alliance Plan Setting Facility Modifier 50 · Both sides Typical Low $64.57 Median $229.09 Typical High $489.78 | Facility | 50 · Both sides | $64.57 | $229.09 | $489.78 |
Health Alliance Plan Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $63.10 Typical High $251.19 | Professional | 50 · Both sides | $46.77 | $63.10 | $251.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $31.62 Median $47.86 Typical High $48.98 | Professional | 50 · Both sides | $31.62 | $47.86 | $48.98 |
Where Michigan sits
The same service costs 12.9 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· 25th of 51
$39.81
VT $347FL $26.92
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.