How much rates vary
Facilitymedian $263 · 10th to 90th $141 to $1,072Professionalmedian $126 · 10th to 90th $50 to $275
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 $131.83 Median $151.36 Typical High $831.76 | Facility | None | $131.83 | $151.36 | $831.76 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $61.66 | Facility | 26 · Professional part | $52.48 | $56.23 | $61.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $100.00 | Facility | TC · Technical part | $85.11 | $89.13 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $131.83 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $52.48 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $79.43 | $85.11 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $107.15 | $107.15 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $30.20 | $32.36 | $51.29 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $380.19 | Facility | None | $204.17 | $269.15 | $380.19 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $42.66 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $42.66 | $107.15 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $288.40 Typical High $407.38 | Facility | None | $269.15 | $288.40 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $218.78 | Professional | None (both parts) | $93.33 | $93.33 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $36.31 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $56.23 | $147.91 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $2,511.89 | Facility | None | $141.25 | $275.42 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $194.98 Typical High $1,258.93 | Professional | None (both parts) | $104.71 | $194.98 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $85.11 Typical High $316.23 | Professional | 26 · Professional part | $36.31 | $85.11 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $354.81 Typical High $1,096.48 | Professional | TC · Technical part | $64.57 | $354.81 | $1,096.48 |
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 $97.72 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $97.72 | $117.49 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $43.65 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $74.13 | $158.49 |
4 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 $61.66 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $61.66 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $25.12 | $28.18 | $28.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | CT · Older CT scanner | $112.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $104.71 | $112.20 | $112.20 |
Where Oklahoma sits
The same service costs 20.4 times more in Vermont 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
$132
VT $1,585UT $77.62
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.