How much rates vary
Facilitymedian $219 · 10th to 90th $93 to $589Professionalmedian $93 · 10th to 90th $66 to $135
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 $91.20 Median $93.33 Typical High $97.72 | Facility | None | $91.20 | $93.33 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $131.83 | Facility | TC · Technical part | $56.23 | $58.88 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $83.18 | $93.33 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $29.51 | $36.31 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $54.95 | $57.54 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $66.07 | $66.07 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $30.20 | $45.71 |
BCBS Michigan Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $213.80 | Facility | None | $83.18 | $125.89 | $213.80 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $47.86 Median $125.89 Typical High $134.90 | Professional | None (both parts) | $47.86 | $125.89 | $134.90 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $51.29 | $69.18 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.84 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $28.84 | $54.95 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $64.57 | $102.33 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $23.44 | $38.02 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $128.82 | Professional | TC · Technical part | $40.74 | $63.10 | $128.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $95.50 Median $302.00 Typical High $645.65 | Facility | None | $95.50 | $302.00 | $645.65 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $72.44 | Facility | 26 · Professional part | $36.31 | $37.15 | $72.44 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $234.42 | Facility | TC · Technical part | $56.23 | $79.43 | $234.42 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $72.44 | $93.33 | $151.36 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $24.55 | $37.15 | $63.10 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $77.62 | Professional | TC · Technical part | $47.86 | $56.23 | $77.62 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $64.57 | $95.50 | $165.96 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $35.48 | $63.10 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $40.74 | $56.23 | $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 $77.62 Median $87.10 Typical High $114.82 | Professional | None (both parts) | $77.62 | $87.10 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $33.11 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $70.79 | Professional | TC · Technical part | $50.12 | $56.23 | $70.79 |
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 $41.69 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $41.69 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $16.60 | $18.62 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $60.26 Typical High $67.61 | Professional | FX · Film X-ray | $45.71 | $60.26 | $67.61 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Where Michigan sits
The same service costs 3.6 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· 32nd of 51
$93.33
AK $245TX $67.61
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.