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 $316.23 Median $389.05 Typical High $1,071.52 | Facility | None | $316.23 | $389.05 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $125.89 | Facility | 26 · Professional part | $109.65 | $117.49 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $263.03 | Facility | TC · Technical part | $213.80 | $245.47 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $269.15 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $112.20 | Professional | 26 · Professional part | $85.11 | $109.65 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $239.88 | Professional | TC · Technical part | $204.17 | $213.80 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | 26 · Professional part | $61.66 | $61.66 | $66.07 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $407.38 Median $562.34 Typical High $794.33 | Facility | None | $407.38 | $562.34 | $794.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $87.10 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $87.10 | $275.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $616.60 Typical High $851.14 | Facility | None | $407.38 | $616.60 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $549.54 | Professional | None (both parts) | $239.88 | $239.88 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $74.13 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $446.68 | Professional | TC · Technical part | $165.96 | $165.96 | $446.68 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $2,511.89 | Facility | None | $331.13 | $436.52 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $524.81 Typical High $3,235.94 | Professional | None (both parts) | $269.15 | $524.81 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $204.17 Typical High $870.96 | Professional | 26 · Professional part | $74.13 | $204.17 | $870.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $851.14 Typical High $2,754.23 | Professional | TC · Technical part | $186.21 | $851.14 | $2,754.23 |
United Setting Facility Modifier None Typical Low $77.62 Median $281.84 Typical High $457.09 | Facility | None | $77.62 | $281.84 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $251.19 | $302.00 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $89.13 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $512.86 | Professional | TC · Technical part | $173.78 | $213.80 | $512.86 |
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 $128.82 Median $162.18 Typical High $165.96 | Professional | 52 · Reduced service | $128.82 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $64.57 Typical High $66.07 | Professional | 53 · Discontinued | $51.29 | $64.57 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $275.42 Typical High $281.84 | Professional | CT · Older CT scanner | $234.42 | $275.42 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $257.04 Typical High $263.03 | Professional | FX · Film X-ray | $218.78 | $257.04 | $263.03 |
Where Oklahoma sits
The same service costs 5.9 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· 42nd of 51
$331
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.