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 $34.67 Median $61.66 Typical High $61.66 | Facility | None | $34.67 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $33.88 | $34.67 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.96 Typical High $16.98 | Professional | 26 · Professional part | $10.72 | $10.96 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $36.31 | Professional | TC · Technical part | $23.44 | $23.44 | $36.31 |
BCBS Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $102.33 | Facility | None | $51.29 | $72.44 | $102.33 |
BCBS Setting Professional Modifier None (both parts) Typical Low $13.49 Median $39.81 Typical High $57.54 | Professional | None (both parts) | $13.49 | $39.81 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $131.83 | Facility | None | $51.29 | $77.62 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $38.02 | $38.02 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $12.02 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $40.74 | Professional | TC · Technical part | $23.44 | $25.70 | $40.74 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $56.23 Typical High $109.65 | Facility | None | $35.48 | $56.23 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $316.23 | Professional | None (both parts) | $40.74 | $58.88 | $316.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $40.74 Typical High $107.15 | Professional | 26 · Professional part | $13.18 | $40.74 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $67.61 Typical High $295.12 | Professional | TC · Technical part | $25.70 | $67.61 | $295.12 |
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 $36.31 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $36.31 | $44.67 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $20.42 | Professional | 26 · Professional part | $12.59 | $14.79 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $42.66 | Professional | TC · Technical part | $23.99 | $28.18 | $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 $16.98 Median $17.38 Typical High $22.39 | Professional | 52 · Reduced service | $16.98 | $17.38 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.92 Typical High $9.12 | Professional | 53 · Discontinued | $6.76 | $6.92 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | FX · Film X-ray | $26.92 | $26.92 | $29.51 |
Where Oklahoma sits
The same service costs 4.0 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· 44th of 51
$45.71
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.