How much rates vary
Facilitymedian $58 · 10th to 90th $38 to $110Professionalmedian $35 · 10th to 90th $10 to $83
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 $28.84 Median $42.66 Typical High $43.65 | Facility | None | $28.84 | $42.66 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $42.66 | Professional | None (both parts) | $28.84 | $28.84 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $11.75 | Professional | 26 · Professional part | $6.76 | $6.76 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.39 Typical High $30.20 | Professional | TC · Technical part | $21.88 | $22.39 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
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 $8.91 Median $34.67 Typical High $47.86 | Professional | None (both parts) | $8.91 | $34.67 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $45.71 Typical High $123.03 | Facility | None | $30.20 | $45.71 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $26.30 | $31.62 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $11.75 | Professional | 26 · Professional part | $7.41 | $7.41 | $11.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $24.55 | $33.11 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $39.81 Typical High $67.61 | Facility | None | $30.20 | $39.81 | $67.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $45.71 Typical High $245.47 | Professional | None (both parts) | $30.90 | $45.71 | $245.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $22.39 Typical High $61.66 | Professional | 26 · Professional part | $8.13 | $22.39 | $61.66 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $63.10 Typical High $190.55 | Professional | TC · Technical part | $22.91 | $63.10 | $190.55 |
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 $29.51 Median $34.67 Typical High $47.86 | Professional | None (both parts) | $29.51 | $34.67 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $11.75 | Professional | 26 · Professional part | $7.41 | $8.51 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $21.88 | $25.70 | $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 $14.45 Typical High $19.05 | Professional | 52 · Reduced service | $14.45 | $14.45 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $7.76 | Professional | 53 · Discontinued | $5.75 | $5.75 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | FX · Film X-ray | $22.91 | $22.91 | $25.12 |
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· 43rd of 51
$34.67
AK $112FL $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.