How much rates vary
Facilitymedian $59 · 10th to 90th $33 to $105Professionalmedian $29 · 10th to 90th $11 to $52
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 $23.99 Median $34.67 Typical High $37.15 | Facility | None | $23.99 | $34.67 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | None (both parts) | $23.99 | $23.99 | $33.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.08 Typical High $10.00 | Professional | 26 · Professional part | $6.92 | $7.08 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.98 Typical High $22.91 | Professional | TC · Technical part | $16.60 | $16.98 | $22.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $39.81 | Professional | None (both parts) | $20.42 | $20.42 | $39.81 |
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 $8.71 Median $28.84 Typical High $39.81 | Professional | None (both parts) | $8.71 | $28.84 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $42.66 Typical High $95.50 | Facility | None | $23.99 | $42.66 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $26.30 Typical High $38.02 | Professional | None (both parts) | $22.39 | $26.30 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | 26 · Professional part | $7.76 | $7.76 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.62 Typical High $25.70 | Professional | TC · Technical part | $14.79 | $18.62 | $25.70 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $33.11 Typical High $186.21 | Facility | None | $25.12 | $33.11 | $186.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $204.17 | Professional | None (both parts) | $26.30 | $38.02 | $204.17 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $19.50 Typical High $112.20 | Professional | 26 · Professional part | $7.94 | $19.50 | $112.20 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $48.98 Typical High $147.91 | Professional | TC · Technical part | $18.20 | $48.98 | $147.91 |
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 $24.55 Median $29.51 Typical High $40.74 | Professional | None (both parts) | $24.55 | $29.51 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $12.30 | Professional | 26 · Professional part | $7.59 | $8.91 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.42 Typical High $28.18 | Professional | TC · Technical part | $16.98 | $20.42 | $28.18 |
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 $11.75 Median $12.02 Typical High $15.85 | Professional | 52 · Reduced service | $11.75 | $12.02 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.31 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | FX · Film X-ray | $19.05 | $19.05 | $20.89 |
Where Oklahoma sits
The same service costs 4.3 times more in Alaska than in New York. 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
$28.84
AK $93.33NY $21.88
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.