How much rates vary
Facilitymedian $79 · 10th to 90th $34 to $166Professionalmedian $33 · 10th to 90th $23 to $89
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 $32.36 Median $33.11 Typical High $34.67 | Facility | None | $32.36 | $33.11 | $34.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $24.55 Typical High $54.95 | Facility | TC · Technical part | $23.44 | $24.55 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $42.66 | Professional | None (both parts) | $26.92 | $33.11 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.71 Typical High $11.75 | Professional | 26 · Professional part | $7.08 | $8.71 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $30.20 | Professional | TC · Technical part | $19.50 | $23.99 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $28.18 | Professional | None (both parts) | $22.91 | $26.92 | $28.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $38.02 Median $72.44 Typical High $144.54 | Facility | None | $38.02 | $72.44 | $144.54 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $44.67 Median $85.11 Typical High $89.13 | Professional | None (both parts) | $44.67 | $85.11 | $89.13 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.59 | $12.59 | $12.59 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.92 Median $20.42 Typical High $34.67 | Professional | None (both parts) | $6.92 | $20.42 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $31.62 Typical High $69.18 | Professional | None (both parts) | $21.88 | $31.62 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $9.33 Typical High $18.62 | Professional | 26 · Professional part | $5.37 | $9.33 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.99 Typical High $51.29 | Professional | TC · Technical part | $15.85 | $23.99 | $51.29 |
Health Alliance Plan Setting Facility Modifier None Typical Low $34.67 Median $93.33 Typical High $190.55 | Facility | None | $34.67 | $93.33 | $190.55 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $17.78 | Facility | 26 · Professional part | $8.71 | $8.91 | $17.78 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $43.65 Typical High $416.87 | Facility | TC · Technical part | $23.44 | $43.65 | $416.87 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $21.88 Median $32.36 Typical High $42.66 | Professional | None (both parts) | $21.88 | $32.36 | $42.66 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.13 Typical High $11.75 | Professional | 26 · Professional part | $6.03 | $8.13 | $11.75 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $23.44 Typical High $28.84 | Professional | TC · Technical part | $16.22 | $23.44 | $28.84 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $28.84 Typical High $56.23 | Professional | None (both parts) | $21.38 | $28.84 | $56.23 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.91 Typical High $15.14 | Professional | 26 · Professional part | $5.37 | $8.91 | $15.14 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.89 Typical High $44.67 | Professional | TC · Technical part | $15.14 | $20.89 | $44.67 |
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 $23.44 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $23.44 | $28.18 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.13 Typical High $10.96 | Professional | 26 · Professional part | $7.24 | $8.13 | $10.96 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.50 Typical High $26.30 | Professional | TC · Technical part | $16.22 | $19.50 | $26.30 |
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 $13.49 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $13.49 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.50 | $6.61 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $20.89 Typical High $25.70 | Professional | FX · Film X-ray | $16.22 | $20.89 | $25.70 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $72.44 Median $104.71 Typical High $181.97 | Facility | 50 · Both sides | $72.44 | $104.71 | $181.97 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 50 · Both sides | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $28.84 Median $39.81 Typical High $42.66 | Professional | 50 · Both sides | $28.84 | $39.81 | $42.66 |
Health Alliance Plan Setting Facility Modifier 50 · Both sides Typical Low $128.82 Median $275.42 Typical High $446.68 | Facility | 50 · Both sides | $128.82 | $275.42 | $446.68 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $28.84 Median $39.81 Typical High $42.66 | Professional | 50 · Both sides | $28.84 | $39.81 | $42.66 |
Where Michigan sits
The same service costs 3.7 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
$33.11
AK $83.18FL $22.39
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.