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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | None (both parts) | $46.77 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $16.60 | Professional | 26 · Professional part | $13.80 | $13.80 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | TC · Technical part | $33.11 | $33.11 | $40.74 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $16.98 Median $22.91 Typical High $75.86 | Professional | None (both parts) | $16.98 | $22.91 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $70.79 Typical High $190.55 | Facility | None | $44.67 | $70.79 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $70.79 | Professional | None (both parts) | $40.74 | $52.48 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $23.99 | Professional | 26 · Professional part | $15.14 | $15.14 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $44.67 | Professional | TC · Technical part | $26.30 | $37.15 | $44.67 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $131.83 | Facility | None | $48.98 | $54.95 | $131.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $72.44 Typical High $398.11 | Professional | None (both parts) | $46.77 | $72.44 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $40.74 Typical High $117.49 | Professional | 26 · Professional part | $16.22 | $40.74 | $117.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $89.13 Typical High $288.40 | Professional | TC · Technical part | $30.90 | $89.13 | $288.40 |
United Setting Facility Modifier None Typical Low $239.88 Median $891.25 Typical High $1,412.54 | Facility | None | $239.88 | $891.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $53.70 Typical High $75.86 | Professional | None (both parts) | $45.71 | $53.70 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.98 Typical High $23.44 | Professional | 26 · Professional part | $14.79 | $16.98 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $29.51 | $35.48 | $52.48 |
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 $23.44 Median $23.44 Typical High $29.51 | Professional | 52 · Reduced service | $23.44 | $23.44 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $11.75 | Professional | 53 · Discontinued | $9.33 | $9.33 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | FX · Film X-ray | $37.15 | $37.15 | $40.74 |
Where Oklahoma sits
The same service costs 5.6 times more in Alaska 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.
Oklahoma· 44th of 51
$54.95
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.