How much rates vary
Facilitymedian $89 · 10th to 90th $45 to $209Professionalmedian $45 · 10th to 90th $28 to $126
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 $43.65 Median $44.67 Typical High $56.23 | Facility | None | $43.65 | $44.67 | $56.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $87.10 | Facility | TC · Technical part | $28.18 | $30.20 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $57.54 | Professional | None (both parts) | $36.31 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.85 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $15.85 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $34.67 | Professional | TC · Technical part | $22.39 | $28.84 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | None (both parts) | $25.70 | $25.70 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $14.13 | $20.42 |
BCBS Michigan Setting Facility Modifier None Typical Low $44.67 Median $89.13 Typical High $134.90 | Facility | None | $44.67 | $89.13 | $134.90 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $21.38 Median $117.49 Typical High $125.89 | Professional | None (both parts) | $21.38 | $117.49 | $125.89 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.59 Median $27.54 Typical High $47.86 | Professional | None (both parts) | $12.59 | $27.54 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $42.66 Typical High $83.18 | Professional | None (both parts) | $28.84 | $42.66 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $18.20 Typical High $32.36 | Professional | 26 · Professional part | $10.96 | $18.20 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $24.55 Typical High $60.26 | Professional | TC · Technical part | $16.60 | $24.55 | $60.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $42.66 Median $147.91 Typical High $302.00 | Facility | None | $42.66 | $147.91 | $302.00 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $39.81 Typical High $66.07 | Facility | TC · Technical part | $28.18 | $39.81 | $66.07 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $28.18 Median $44.67 Typical High $51.29 | Professional | None (both parts) | $28.18 | $44.67 | $51.29 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $12.30 | $16.22 | $21.38 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $26.92 Typical High $31.62 | Professional | TC · Technical part | $16.22 | $26.92 | $31.62 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $28.18 | $39.81 | $64.57 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $10.72 | $16.60 | $29.51 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $47.86 | Professional | TC · Technical part | $16.60 | $21.88 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $45.71 | Professional | None (both parts) | $33.88 | $37.15 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $19.05 | Professional | 26 · Professional part | $13.80 | $15.49 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $26.92 | Professional | TC · Technical part | $19.05 | $22.39 | $26.92 |
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 $19.50 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $19.50 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.76 | $8.91 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $28.18 Typical High $33.88 | Professional | FX · Film X-ray | $19.50 | $28.18 | $33.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.91 | $8.91 | $8.91 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $12.88 Median $14.79 Typical High $223.87 | Professional | 59 · Distinct service | $12.88 | $14.79 | $223.87 |
Where Michigan sits
The same service costs 4.1 times more in Alaska than in Florida. 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· 21st of 51
$44.67
AK $117FL $28.84
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.