How much rates vary
Facilitymedian $60 · 10th to 90th $34 to $102Professionalmedian $30 · 10th to 90th $11 to $209
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 $24.55 Median $37.15 Typical High $42.66 | Facility | None | $24.55 | $37.15 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $33.88 | Professional | None (both parts) | $24.55 | $24.55 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.08 Typical High $10.00 | Professional | 26 · Professional part | $6.92 | $7.08 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.78 Typical High $25.12 | Professional | TC · Technical part | $17.38 | $17.78 | $25.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $14.13 | $21.38 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $102.33 | Facility | None | $51.29 | $72.44 | $102.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $8.71 Median $29.51 Typical High $40.74 | Professional | None (both parts) | $8.71 | $29.51 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $42.66 Typical High $102.33 | Facility | None | $24.55 | $42.66 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $22.91 | $28.18 | $39.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | 26 · Professional part | $7.76 | $7.76 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.95 Typical High $26.92 | Professional | TC · Technical part | $15.49 | $19.95 | $26.92 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $34.67 Typical High $67.61 | Facility | None | $25.70 | $34.67 | $67.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.90 Typical High $208.93 | Professional | None (both parts) | $27.54 | $38.90 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $19.50 Typical High $83.18 | Professional | 26 · Professional part | $7.76 | $19.50 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $51.29 Typical High $154.88 | Professional | TC · Technical part | $19.05 | $51.29 | $154.88 |
United Setting Facility Modifier None Typical Low $38.02 Median $141.25 Typical High $223.87 | Facility | None | $38.02 | $141.25 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $40.74 | Professional | None (both parts) | $25.12 | $29.51 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $11.22 | Professional | 26 · Professional part | $7.24 | $8.32 | $11.22 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $29.51 | Professional | TC · Technical part | $17.78 | $21.38 | $29.51 |
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 $12.30 Median $12.30 Typical High $16.60 | Professional | 52 · Reduced service | $12.30 | $12.30 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $6.61 | Professional | 53 · Discontinued | $4.90 | $5.01 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | FX · Film X-ray | $19.50 | $19.50 | $21.38 |
Where Oklahoma sits
The same service costs 4.1 times more in Alaska than in New York. 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· 45th of 51
$29.51
AK $95.50NY $23.44
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.