How much rates vary
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 $69.18 Median $69.18 Typical High $89.13 | Facility | None | $69.18 | $69.18 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $56.23 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $29.51 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $32.36 | $40.74 | $52.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $57.54 Median $85.11 Typical High $147.91 | Facility | None | $57.54 | $85.11 | $147.91 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $91.20 Typical High $97.72 | Professional | None (both parts) | $53.70 | $91.20 | $97.72 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $45.71 | $74.13 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.90 Typical High $61.66 | Professional | 26 · Professional part | $18.20 | $30.90 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $42.66 Typical High $85.11 | Professional | TC · Technical part | $26.92 | $42.66 | $85.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $69.18 Median $144.54 Typical High $537.03 | Facility | None | $69.18 | $144.54 | $537.03 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $75.86 Typical High $1,412.54 | Facility | TC · Technical part | $38.90 | $75.86 | $1,412.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $77.62 | Professional | None (both parts) | $48.98 | $64.57 | $77.62 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $20.89 | $27.54 | $33.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $28.18 | $37.15 | $43.65 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $67.61 Typical High $120.23 | Professional | None (both parts) | $45.71 | $67.61 | $120.23 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $30.20 | $52.48 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $77.62 | Professional | TC · Technical part | $26.92 | $36.31 | $77.62 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,548.82 | Facility | None | $562.34 | $724.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $64.57 Typical High $85.11 | Professional | None (both parts) | $57.54 | $64.57 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $28.18 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $30.90 | $36.31 | $45.71 |
5 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 $28.84 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $28.84 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $11.48 | $14.13 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $43.65 Typical High $54.95 | Professional | FX · Film X-ray | $33.11 | $43.65 | $54.95 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Where Michigan sits
The same service costs 3.8 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· 31st of 51
$69.18
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.