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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $169.82 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.48 Typical High $14.13 | Professional | 26 · Professional part | $11.22 | $11.48 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $165.96 | $169.82 | $229.09 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $14.45 Median $43.65 Typical High $67.61 | Professional | None (both parts) | $14.45 | $43.65 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $147.91 Typical High $190.55 | Facility | None | $54.95 | $147.91 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $64.57 | Professional | None (both parts) | $41.69 | $41.69 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $12.88 | $12.88 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | TC · Technical part | $28.84 | $28.84 | $44.67 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $58.88 Typical High $389.05 | Facility | None | $38.90 | $58.88 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $52.48 Median $245.47 Typical High $1,288.25 | Professional | None (both parts) | $52.48 | $245.47 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $35.48 Typical High $89.13 | Professional | 26 · Professional part | $13.49 | $35.48 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $398.11 Typical High $1,258.93 | Professional | TC · Technical part | $45.71 | $398.11 | $1,258.93 |
United Setting Facility Modifier None Typical Low $104.71 Median $389.05 Typical High $616.60 | Facility | None | $104.71 | $389.05 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $52.48 | $229.09 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $12.59 | $14.45 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $38.02 | $218.78 | $302.00 |
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 $85.11 Median $87.10 Typical High $114.82 | Professional | 52 · Reduced service | $85.11 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $46.77 | Professional | 53 · Discontinued | $33.88 | $34.67 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | FX · Film X-ray | $138.04 | $138.04 | $151.36 |
Where Oklahoma sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 46th of 51
$63.10
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.