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 $24.55 Median $38.90 Typical High $44.67 | Facility | None | $24.55 | $38.90 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $38.02 | Professional | None (both parts) | $24.55 | $24.55 | $38.02 |
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 $17.78 Median $17.78 Typical High $26.92 | Professional | TC · Technical part | $17.78 | $17.78 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $23.44 | $23.44 | $23.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 26 · Professional part | $6.46 | $6.46 | $6.46 |
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 $29.51 Typical High $40.74 | Professional | None (both parts) | $8.91 | $29.51 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $53.70 Typical High $100.00 | Facility | None | $35.48 | $53.70 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $27.54 Typical High $42.66 | Professional | None (both parts) | $25.70 | $27.54 | $42.66 |
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 $16.98 Median $19.95 Typical High $29.51 | Professional | TC · Technical part | $16.98 | $19.95 | $29.51 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $67.61 | Facility | None | $25.70 | $36.31 | $67.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $208.93 | Professional | None (both parts) | $27.54 | $39.81 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $20.42 Typical High $66.07 | Professional | 26 · Professional part | $7.94 | $20.42 | $66.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $50.12 Typical High $186.21 | Professional | TC · Technical part | $19.05 | $50.12 | $186.21 |
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 $25.70 Median $29.51 Typical High $41.69 | Professional | None (both parts) | $25.70 | $29.51 | $41.69 |
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 $17.78 Median $21.38 Typical High $29.51 | Professional | TC · Technical part | $17.78 | $21.38 | $29.51 |
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 $12.30 Median $12.30 Typical High $16.60 | Professional | 52 · Reduced service | $12.30 | $12.30 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $6.61 | Professional | 53 · Discontinued | $4.90 | $4.90 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | FX · Film X-ray | $19.50 | $19.50 | $21.38 |
Where Oklahoma sits
The same service costs 3.5 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· 45th of 51
$30.90
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.