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 $125.89 Median $131.83 Typical High $131.83 | Facility | None | $125.89 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $128.82 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $45.71 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $85.11 | $85.11 | $107.15 |
BCBS Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $346.74 | Facility | None | $190.55 | $251.19 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $457.09 Typical High $467.74 | Facility | None | $109.65 | $457.09 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $117.49 | $141.25 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $50.12 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $66.07 | $89.13 | $125.89 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $707.95 | Facility | None | $138.04 | $181.97 | $707.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $1,096.48 | Professional | None (both parts) | $134.90 | $204.17 | $1,096.48 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $144.54 Typical High $363.08 | Professional | 26 · Professional part | $54.95 | $144.54 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $234.42 Typical High $741.31 | Professional | TC · Technical part | $79.43 | $234.42 | $741.31 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,258.93 Typical High $2,041.74 | Facility | None | $346.74 | $1,258.93 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $131.83 | $154.88 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $58.88 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $75.86 | $95.50 | $138.04 |
3 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 $64.57 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $64.57 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $26.30 | $26.30 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $112.20 | Professional | FX · Film X-ray | $104.71 | $104.71 | $112.20 |
Where Oklahoma sits
The same service costs 4.3 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.
Oklahoma· 41st of 51
$158
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.