How much rates vary
Facilitymedian $63 · 10th to 90th $43 to $138Professionalmedian $45 · 10th to 90th $18 to $437
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 $25.70 Median $37.15 Typical High $38.90 | Facility | None | $25.70 | $37.15 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $37.15 Typical High $56.23 | Professional | None (both parts) | $36.31 | $37.15 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.96 Typical High $19.05 | Professional | 26 · Professional part | $10.72 | $10.96 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $25.70 | $26.30 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $64.57 | Professional | None (both parts) | $60.26 | $60.26 | $64.57 |
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 $14.13 Median $44.67 Typical High $61.66 | Professional | None (both parts) | $14.13 | $44.67 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $69.18 Typical High $144.54 | Facility | None | $42.66 | $69.18 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $63.10 | Professional | None (both parts) | $37.15 | $40.74 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $12.02 | $12.02 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $40.74 | Professional | TC · Technical part | $23.44 | $28.18 | $40.74 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $51.29 Typical High $109.65 | Facility | None | $38.90 | $51.29 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $436.52 | Professional | None (both parts) | $40.74 | $58.88 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $33.11 Typical High $97.72 | Professional | 26 · Professional part | $12.88 | $33.11 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $74.13 Typical High $426.58 | Professional | TC · Technical part | $28.18 | $74.13 | $426.58 |
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 $38.02 Median $44.67 Typical High $61.66 | Professional | None (both parts) | $38.02 | $44.67 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $19.05 | Professional | 26 · Professional part | $12.02 | $13.80 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $42.66 | Professional | TC · Technical part | $26.30 | $30.90 | $42.66 |
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 $18.20 Median $18.62 Typical High $24.55 | Professional | 52 · Reduced service | $18.20 | $18.62 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $9.77 | Professional | 53 · Discontinued | $7.41 | $7.41 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | FX · Film X-ray | $29.51 | $29.51 | $32.36 |
Where Oklahoma sits
The same service costs 4.1 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· 45th of 51
$44.67
AK $132UT $32.36
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.