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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $29.51 | $29.51 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.08 Typical High $8.51 | Professional | 26 · Professional part | $6.92 | $7.08 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | TC · Technical part | $22.39 | $22.39 | $28.84 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $54.95 Median $72.44 Typical High $102.33 | Facility | None | $54.95 | $72.44 | $102.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $8.71 Median $27.54 Typical High $47.86 | Professional | None (both parts) | $8.71 | $27.54 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $53.70 Typical High $123.03 | Facility | None | $35.48 | $53.70 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $32.36 Typical High $50.12 | Professional | None (both parts) | $28.84 | $32.36 | $50.12 |
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 $19.95 Median $24.55 Typical High $34.67 | Professional | TC · Technical part | $19.95 | $24.55 | $34.67 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $67.61 | Facility | None | $30.90 | $42.66 | $67.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $251.19 | Professional | None (both parts) | $32.36 | $46.77 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $21.38 Typical High $54.95 | Professional | 26 · Professional part | $8.51 | $21.38 | $54.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $63.10 Typical High $194.98 | Professional | TC · Technical part | $23.44 | $63.10 | $194.98 |
United Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $269.15 | Facility | None | $45.71 | $169.82 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $48.98 | Professional | None (both parts) | $29.51 | $35.48 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.91 Typical High $12.30 | Professional | 26 · Professional part | $7.76 | $8.91 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $36.31 | Professional | TC · Technical part | $22.39 | $26.30 | $36.31 |
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 $14.45 Median $14.79 Typical High $19.50 | Professional | 52 · Reduced service | $14.45 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $7.76 | Professional | 53 · Discontinued | $5.89 | $5.89 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | FX · Film X-ray | $23.44 | $23.44 | $25.70 |
Where Oklahoma sits
The same service costs 3.9 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.
Oklahoma· 44th of 51
$35.48
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.