How much rates vary
Facilitymedian $309 · 10th to 90th $148 to $676Professionalmedian $132 · 10th to 90th $49 to $263
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $120.23 | $125.89 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $25.12 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $85.11 | $89.13 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $158.49 Median $302.00 Typical High $588.84 | Facility | None | $158.49 | $302.00 | $588.84 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $48.98 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $48.98 | $181.97 | $363.08 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $93.33 | $147.91 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $34.67 Typical High $72.44 | Professional | 26 · Professional part | $21.88 | $34.67 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $72.44 | $114.82 | $234.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $131.83 Median $316.23 Typical High $891.25 | Facility | None | $131.83 | $316.23 | $891.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $109.65 | $144.54 | $165.96 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $30.90 | $38.02 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $131.83 | Professional | TC · Technical part | $85.11 | $109.65 | $131.83 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $93.33 | $141.25 | $263.03 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $21.88 | $30.90 | $57.54 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $104.71 | $208.93 |
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 $109.65 Median $131.83 Typical High $177.83 | Professional | None (both parts) | $109.65 | $131.83 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $29.51 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $85.11 | $100.00 | $131.83 |
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 $60.26 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $60.26 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $24.55 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $89.13 Typical High $131.83 | Professional | FX · Film X-ray | $74.13 | $89.13 | $131.83 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $295.12 Median $426.58 Typical High $741.31 | Facility | 50 · Both sides | $295.12 | $426.58 | $741.31 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 50 · Both sides | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $186.21 Typical High $213.80 | Professional | 50 · Both sides | $134.90 | $186.21 | $213.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $186.21 Typical High $281.84 | Professional | 50 · Both sides | $131.83 | $186.21 | $281.84 |
Where Michigan sits
The same service costs 3.5 times more in Alaska 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· 35th of 51
$138
AK $355TX $100
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.