How much rates vary
Facilitymedian $214 · 10th to 90th $148 to $389Professionalmedian $155 · 10th to 90th $115 to $200
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 $158.49 Median $162.18 Typical High $169.82 | Facility | None | $158.49 | $162.18 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $128.82 Typical High $363.08 | Facility | TC · Technical part | $117.49 | $128.82 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $128.82 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $32.36 | $37.15 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $131.83 | Professional | TC · Technical part | $97.72 | $125.89 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
BCBS Michigan Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $371.54 | Facility | None | $147.91 | $218.78 | $371.54 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $138.04 | $186.21 | $199.53 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $30.20 | $169.82 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $158.49 Typical High $426.58 | Professional | None (both parts) | $91.20 | $158.49 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $25.12 | $39.81 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $117.49 Typical High $398.11 | Professional | TC · Technical part | $61.66 | $117.49 | $398.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $446.68 | Facility | None | $158.49 | $295.12 | $446.68 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $79.43 | Facility | 26 · Professional part | $37.15 | $38.90 | $79.43 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $275.42 | Facility | TC · Technical part | $117.49 | $223.87 | $275.42 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $109.65 | $144.54 | $199.53 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $27.54 | $37.15 | $47.86 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $81.28 | $107.15 | $131.83 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $87.10 | $144.54 | $275.42 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $25.12 | $38.02 | $66.07 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $239.88 | Professional | TC · Technical part | $57.54 | $95.50 | $239.88 |
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 $109.65 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $109.65 | $138.04 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $35.48 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $102.33 | $144.54 |
6 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 $72.44 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $72.44 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $102.33 Typical High $125.89 | Professional | FX · Film X-ray | $57.54 | $102.33 | $125.89 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $117.49 Median $117.49 Typical High $194.98 | Professional | 59 · Distinct service | $117.49 | $117.49 | $194.98 |
Where Michigan sits
The same service costs 4.9 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
$155
WY $501UT $102
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.