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 $39.81 Median $44.67 Typical High $64.57 | Facility | None | $39.81 | $44.67 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $40.74 Typical High $56.23 | Professional | None (both parts) | $39.81 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.33 Typical High $13.18 | Professional | 26 · Professional part | $9.12 | $9.33 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $30.90 | $31.62 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.71 | $8.71 | $8.71 |
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 $12.59 Median $48.98 Typical High $67.61 | Professional | None (both parts) | $12.59 | $48.98 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $74.13 Typical High $173.78 | Facility | None | $42.66 | $74.13 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $39.81 | $44.67 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $16.60 | Professional | 26 · Professional part | $10.23 | $10.23 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $47.86 | Professional | TC · Technical part | $27.54 | $34.67 | $47.86 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $57.54 Typical High $72.44 | Facility | None | $39.81 | $57.54 | $72.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $346.74 | Professional | None (both parts) | $45.71 | $64.57 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $29.51 Typical High $141.25 | Professional | 26 · Professional part | $11.48 | $29.51 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $89.13 Typical High $275.42 | Professional | TC · Technical part | $33.11 | $89.13 | $275.42 |
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 $41.69 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $41.69 | $50.12 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $16.60 | Professional | 26 · Professional part | $10.47 | $12.02 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.02 Typical High $52.48 | Professional | TC · Technical part | $31.62 | $38.02 | $52.48 |
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 $19.95 Median $20.42 Typical High $26.92 | Professional | 52 · Reduced service | $19.95 | $20.42 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $10.72 | Professional | 53 · Discontinued | $8.13 | $8.13 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | FX · Film X-ray | $32.36 | $32.36 | $35.48 |
Where Oklahoma sits
The same service costs 4.5 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· 41st of 51
$50.12
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.