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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $79.43 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $32.36 | $32.36 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $48.98 Typical High $64.57 | Professional | TC · Technical part | $47.86 | $48.98 | $64.57 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9.33 Median $12.30 Typical High $17.38 | Facility | None | $9.33 | $12.30 | $17.38 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $39.81 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $39.81 | $85.11 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $181.97 Typical High $288.40 | Facility | None | $79.43 | $181.97 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $81.28 | $95.50 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $37.15 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $79.43 | Professional | TC · Technical part | $42.66 | $57.54 | $79.43 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $181.97 | Facility | None | $83.18 | $109.65 | $181.97 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $676.08 | Professional | None (both parts) | $95.50 | $138.04 | $676.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $100.00 Typical High $281.84 | Professional | 26 · Professional part | $38.90 | $100.00 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $147.91 Typical High $467.74 | Professional | TC · Technical part | $53.70 | $147.91 | $467.74 |
United Setting Facility Modifier None Typical Low $104.71 Median $389.05 Typical High $616.60 | Facility | None | $104.71 | $389.05 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $87.10 | $104.71 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $41.69 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $51.29 | $63.10 | $91.20 |
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 $39.81 Median $40.74 Typical High $52.48 | Professional | 52 · Reduced service | $39.81 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.22 Typical High $20.89 | Professional | 53 · Discontinued | $15.85 | $16.22 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | FX · Film X-ray | $64.57 | $64.57 | $74.13 |
Where Oklahoma sits
The same service costs 4.4 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
$105
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.