How much rates vary
Facilitymedian $832 · 10th to 90th $251 to $2,138Professionalmedian $324 · 10th to 90th $219 to $631
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 $257.04 Median $257.04 Typical High $331.13 | Facility | None | $257.04 | $257.04 | $331.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $89.13 | Facility | 26 · Professional part | $81.28 | $83.18 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $549.54 | Facility | TC · Technical part | $173.78 | $181.97 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $234.42 | $263.03 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $83.18 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $354.81 | Professional | TC · Technical part | $165.96 | $177.83 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $95.50 | $151.36 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $63.10 | $63.10 | $93.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $977.24 | Facility | None | $251.19 | $501.19 | $977.24 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $173.78 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $173.78 | $338.84 | $630.96 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $60.26 | $141.25 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $199.53 | $371.54 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $50.12 | $79.43 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $263.03 Typical High $489.78 | Professional | TC · Technical part | $141.25 | $263.03 | $489.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $257.04 Median $1,230.27 Typical High $2,238.72 | Facility | None | $257.04 | $1,230.27 | $2,238.72 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $158.49 | Facility | 26 · Professional part | $81.28 | $83.18 | $158.49 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $912.01 | Facility | TC · Technical part | $173.78 | $354.81 | $912.01 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $234.42 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $234.42 | $363.08 | $562.34 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $81.28 | $141.25 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $309.03 | $416.87 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $199.53 | $309.03 | $602.56 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $74.13 | $134.90 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $229.09 Typical High $467.74 | Professional | TC · Technical part | $141.25 | $229.09 | $467.74 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $676.08 | Facility | None | $245.47 | $323.59 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $234.42 | $371.54 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $69.18 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $478.63 | Professional | TC · Technical part | $162.18 | $245.47 | $478.63 |
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 $128.82 Median $128.82 Typical High $165.96 | Professional | 52 · Reduced service | $128.82 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $66.07 | Professional | 53 · Discontinued | $51.29 | $52.48 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $213.80 Typical High $354.81 | Professional | FX · Film X-ray | $165.96 | $213.80 | $354.81 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $489.78 Median $707.95 Typical High $1,202.26 | Facility | 50 · Both sides | $489.78 | $707.95 | $1,202.26 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 50 · Both sides | $676.08 | $676.08 | $676.08 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $302.00 Median $354.81 Typical High $812.83 | Professional | 50 · Both sides | $302.00 | $354.81 | $812.83 |
Health Alliance Plan Setting Facility Modifier 50 · Both sides Typical Low $562.34 Median $2,754.23 Typical High $5,495.41 | Facility | 50 · Both sides | $562.34 | $2,754.23 | $5,495.41 |
Health Alliance Plan Setting Facility Modifier ME · Imaging: follows guidelines Typical Low $831.76 Median $1,584.89 Typical High $1,778.28 | Facility | ME · Imaging: follows guidelines | $831.76 | $1,584.89 | $1,778.28 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $128.82 | $128.82 | $128.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $51.29 | $51.29 | $51.29 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $302.00 Median $354.81 Typical High $812.83 | Professional | 50 · Both sides | $302.00 | $354.81 | $812.83 |
Where Michigan sits
The same service costs 13.5 times more in Vermont 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· 32nd of 51
$339
VT $2,089UT $155
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.