How much rates vary
Facilitymedian $51 · 10th to 90th $22 to $102Professionalmedian $19 · 10th to 90th $13 to $42
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 $5.89 Median $8.91 Typical High $13.80 | Facility | None | $5.89 | $8.91 | $13.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $13.80 Typical High $19.05 | Professional | None (both parts) | $13.80 | $13.80 | $19.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $10.47 | Professional | 26 · Professional part | $7.76 | $7.94 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $5.89 Median $6.03 Typical High $9.12 | Professional | TC · Technical part | $5.89 | $6.03 | $9.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $19.50 | $19.50 | $19.50 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $54.95 Median $72.44 Typical High $102.33 | Facility | None | $54.95 | $72.44 | $102.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $10.96 Median $17.38 Typical High $23.99 | Professional | None (both parts) | $10.96 | $17.38 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $36.31 Typical High $50.12 | Facility | None | $33.11 | $36.31 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $29.51 | Professional | None (both parts) | $16.22 | $16.22 | $29.51 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $14.13 | Professional | 26 · Professional part | $8.91 | $8.91 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $7.41 Typical High $13.49 | Professional | TC · Technical part | $7.41 | $7.41 | $13.49 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $67.61 | Facility | None | $14.45 | $25.12 | $67.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $17.78 Median $28.18 Typical High $208.93 | Professional | None (both parts) | $17.78 | $28.18 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $26.30 Typical High $104.71 | Professional | 26 · Professional part | $9.77 | $26.30 | $104.71 |
Medica Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $31.62 Typical High $128.82 | Professional | TC · Technical part | $7.76 | $31.62 | $128.82 |
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 $16.22 Median $19.50 Typical High $30.90 | Professional | None (both parts) | $16.22 | $19.50 | $30.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $14.13 | Professional | 26 · Professional part | $8.91 | $10.23 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $8.51 Typical High $16.60 | Professional | TC · Technical part | $6.92 | $8.51 | $16.60 |
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 $6.92 Median $6.92 Typical High $8.91 | Professional | 52 · Reduced service | $6.92 | $6.92 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.55 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $10.96 Median $10.96 Typical High $12.59 | Professional | FX · Film X-ray | $10.96 | $10.96 | $12.59 |
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
$19.50
AK $56.23FL $15.49
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.