How much rates vary
Facilitymedian $155 · 10th to 90th $81 to $295Professionalmedian $95 · 10th to 90th $72 to $234
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $95.50 | Professional | None (both parts) | $79.43 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $38.90 | Professional | 26 · Professional part | $30.90 | $37.15 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $61.66 | Professional | TC · Technical part | $46.77 | $48.98 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
BCBS Michigan Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $281.84 | Facility | None | $79.43 | $151.36 | $281.84 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $67.61 Median $223.87 Typical High $234.42 | Professional | None (both parts) | $67.61 | $223.87 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $208.93 | Professional | None (both parts) | $60.26 | $100.00 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $25.70 | $39.81 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $61.66 Typical High $131.83 | Professional | TC · Technical part | $38.90 | $61.66 | $131.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $85.11 Median $208.93 Typical High $380.19 | Facility | None | $85.11 | $208.93 | $380.19 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $123.03 | Professional | None (both parts) | $72.44 | $85.11 | $123.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $36.31 | $46.77 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $75.86 | Professional | TC · Technical part | $44.67 | $47.86 | $75.86 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $60.26 | $97.72 | $194.98 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $26.30 | $38.02 | $70.79 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $38.90 | $61.66 | $120.23 |
United Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $295.12 | Facility | None | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $123.03 | Professional | None (both parts) | $72.44 | $95.50 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $28.18 | $37.15 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $44.67 | $61.66 | $75.86 |
8 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 $38.02 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $38.02 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $15.49 | $16.98 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $56.23 Typical High $70.79 | Professional | FX · Film X-ray | $41.69 | $56.23 | $70.79 |
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $151.36 Median $218.78 Typical High $380.19 | Facility | 50 · Both sides | $151.36 | $218.78 | $380.19 |
Cigna Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $144.54 Typical High $158.49 | Professional | 50 · Both sides | $107.15 | $144.54 | $158.49 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.98 | $16.98 | $16.98 |
Priority Health Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $144.54 Typical High $218.78 | Professional | 50 · Both sides | $95.50 | $144.54 | $218.78 |
Where Michigan sits
The same service costs 3.7 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· 30th of 51
$95.50
AK $229TX $61.66
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.