How much rates vary
Facilitymedian $617 · 10th to 90th $331 to $1,202Professionalmedian $437 · 10th to 90th $309 to $813
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 $331.13 Median $331.13 Typical High $338.84 | Facility | None | $331.13 | $331.13 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $331.13 | $338.84 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $93.33 | $97.72 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $229.09 | $239.88 | $363.08 |
BCBS Michigan Setting Facility Modifier None Typical Low $338.84 Median $645.65 Typical High $1,202.26 | Facility | None | $338.84 | $645.65 | $1,202.26 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $812.83 | Professional | None (both parts) | $302.00 | $436.52 | $812.83 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $269.15 | $501.19 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $95.50 Typical High $190.55 | Professional | 26 · Professional part | $58.88 | $95.50 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $691.83 | Professional | TC · Technical part | $194.98 | $354.81 | $691.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $338.84 Median $1,096.48 Typical High $1,202.26 | Facility | None | $338.84 | $1,096.48 | $1,202.26 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $588.84 Typical High $1,023.29 | Facility | TC · Technical part | $239.88 | $588.84 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $338.84 | $416.87 | $562.34 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $85.11 | $117.49 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $467.74 | Professional | TC · Technical part | $239.88 | $346.74 | $467.74 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $912.01 | Professional | None (both parts) | $269.15 | $426.58 | $912.01 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $89.13 | $158.49 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $331.13 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $331.13 | $676.08 |
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 $309.03 Median $478.63 Typical High $645.65 | Professional | None (both parts) | $309.03 | $478.63 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $83.18 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $223.87 | $380.19 | $549.54 |
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 $165.96 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $67.61 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $269.15 Typical High $446.68 | Professional | FX · Film X-ray | $199.53 | $269.15 | $446.68 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $645.65 Median $933.25 Typical High $1,621.81 | Facility | 50 · Both sides | $645.65 | $933.25 | $1,621.81 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 50 · Both sides | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $467.74 Typical High $977.24 | Professional | 50 · Both sides | $398.11 | $467.74 | $977.24 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $467.74 Typical High $977.24 | Professional | 50 · Both sides | $398.11 | $467.74 | $977.24 |
Where Michigan sits
The same service costs 5.5 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
$437
WY $1,047UT $191
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.