How much rates vary
Facilitymedian $102 · 10th to 90th $38 to $229Professionalmedian $37 · 10th to 90th $25 to $95
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 $36.31 Median $37.15 Typical High $38.90 | Facility | None | $36.31 | $37.15 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $64.57 | Facility | TC · Technical part | $26.92 | $28.84 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $47.86 | Professional | None (both parts) | $28.18 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $7.41 | $9.12 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $33.88 | Professional | TC · Technical part | $20.89 | $28.18 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $30.20 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | 26 · Professional part | $7.94 | $8.13 | $8.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $44.67 Median $83.18 Typical High $165.96 | Facility | None | $44.67 | $83.18 | $165.96 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $38.02 | $53.70 | $100.00 |
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 $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.24 Median $23.99 Typical High $38.90 | Professional | None (both parts) | $7.24 | $23.99 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $35.48 Typical High $81.28 | Professional | None (both parts) | $23.44 | $35.48 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $9.77 Typical High $20.42 | Professional | 26 · Professional part | $5.75 | $9.77 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.92 Typical High $60.26 | Professional | TC · Technical part | $16.60 | $26.92 | $60.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.90 Median $131.83 Typical High $316.23 | Facility | None | $38.90 | $131.83 | $316.23 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $9.12 Median $9.55 Typical High $19.05 | Facility | 26 · Professional part | $9.12 | $9.55 | $19.05 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $64.57 | Facility | TC · Technical part | $27.54 | $35.48 | $64.57 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $23.44 Median $36.31 Typical High $47.86 | Professional | None (both parts) | $23.44 | $36.31 | $47.86 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $11.75 | Professional | 26 · Professional part | $6.61 | $8.71 | $11.75 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.30 Typical High $31.62 | Professional | TC · Technical part | $16.98 | $26.30 | $31.62 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $22.91 | $31.62 | $60.26 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.12 Typical High $16.60 | Professional | 26 · Professional part | $5.89 | $9.12 | $16.60 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.91 Typical High $46.77 | Professional | TC · Technical part | $16.60 | $22.91 | $46.77 |
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 $23.99 Median $30.20 Typical High $39.81 | Professional | None (both parts) | $23.99 | $30.20 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $11.22 | Professional | 26 · Professional part | $7.24 | $8.51 | $11.22 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $29.51 | Professional | TC · Technical part | $16.98 | $22.39 | $29.51 |
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 $15.49 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $15.49 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.31 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $23.99 Typical High $29.51 | Professional | FX · Film X-ray | $17.78 | $23.99 | $29.51 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $83.18 Median $123.03 Typical High $208.93 | Facility | 50 · Both sides | $83.18 | $123.03 | $208.93 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 50 · Both sides | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $30.90 Median $43.65 Typical High $46.77 | Professional | 50 · Both sides | $30.90 | $43.65 | $46.77 |
Health Alliance Plan Setting Facility Modifier 50 · Both sides Typical Low $41.69 Median $263.03 Typical High $302.00 | Facility | 50 · Both sides | $41.69 | $263.03 | $302.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $30.20 Median $44.67 Typical High $46.77 | Professional | 50 · Both sides | $30.20 | $44.67 | $46.77 |
Where Michigan sits
The same service costs 3.8 times more in Alaska 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· 26th of 51
$37.15
AK $95.50FL $25.12
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.