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 $27.54 Median $44.67 Typical High $47.86 | Facility | None | $27.54 | $44.67 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $27.54 Typical High $44.67 | Professional | None (both parts) | $26.92 | $27.54 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.08 Typical High $14.45 | Professional | 26 · Professional part | $6.92 | $7.08 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $20.42 Typical High $28.84 | Professional | TC · Technical part | $19.95 | $20.42 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | None (both parts) | $45.71 | $45.71 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 26 · Professional part | $6.76 | $6.76 | $6.76 |
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 $10.47 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $10.47 | $33.11 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $53.70 Typical High $114.82 | Facility | None | $35.48 | $53.70 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $47.86 | Professional | None (both parts) | $30.20 | $30.20 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $14.13 | Professional | 26 · Professional part | $7.76 | $7.76 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $33.88 | Professional | TC · Technical part | $19.05 | $22.91 | $33.88 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $44.67 Typical High $109.65 | Facility | None | $28.18 | $44.67 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $229.09 | Professional | None (both parts) | $32.36 | $45.71 | $229.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $26.92 Typical High $77.62 | Professional | 26 · Professional part | $9.33 | $26.92 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $57.54 Typical High $213.80 | Professional | TC · Technical part | $21.88 | $57.54 | $213.80 |
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 $28.84 Median $35.48 Typical High $48.98 | Professional | None (both parts) | $28.84 | $35.48 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $14.13 | Professional | 26 · Professional part | $8.91 | $10.47 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $33.88 | Professional | TC · Technical part | $20.42 | $24.55 | $33.88 |
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 $13.49 Median $13.80 Typical High $18.20 | Professional | 52 · Reduced service | $13.49 | $13.80 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.50 Typical High $7.24 | Professional | 53 · Discontinued | $5.37 | $5.50 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | FX · Film X-ray | $21.38 | $21.38 | $23.44 |
Where Oklahoma sits
The same service costs 3.6 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· 46th of 51
$34.67
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.