How much rates vary
Facilitymedian $813 · 10th to 90th $479 to $1,622Professionalmedian $372 · 10th to 90th $135 to $1,096
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 $436.52 Median $512.86 Typical High $1,621.81 | Facility | None | $436.52 | $512.86 | $1,621.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $151.36 Median $165.96 Typical High $181.97 | Facility | 26 · Professional part | $151.36 | $165.96 | $181.97 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $380.19 | Facility | TC · Technical part | $281.84 | $338.84 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $389.05 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $120.23 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $251.19 | $346.74 | $346.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $302.00 | $302.00 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $81.28 | $102.33 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $1,348.96 | Facility | None | $676.08 | $954.99 | $1,348.96 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $114.82 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $114.82 | $331.13 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $2,137.96 | Facility | None | $933.25 | $933.25 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $776.25 | Professional | None (both parts) | $275.42 | $275.42 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $97.72 | $97.72 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $575.44 | Professional | TC · Technical part | $177.83 | $177.83 | $575.44 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $3,090.30 | Facility | None | $478.63 | $549.54 | $3,090.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $812.83 Typical High $6,165.95 | Professional | None (both parts) | $316.23 | $812.83 | $6,165.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $467.74 Typical High $912.01 | Professional | 26 · Professional part | $97.72 | $467.74 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $1,479.11 Typical High $5,495.41 | Professional | TC · Technical part | $229.09 | $1,479.11 | $5,495.41 |
United Setting Facility Modifier None Typical Low $154.88 Median $562.34 Typical High $912.01 | Facility | None | $154.88 | $562.34 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $1,096.48 | Professional | None (both parts) | $309.03 | $380.19 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $223.87 | Professional | 26 · Professional part | $95.50 | $117.49 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $954.99 | Professional | TC · Technical part | $208.93 | $251.19 | $954.99 |
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 $169.82 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $169.82 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $67.61 | $104.71 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $416.87 Typical High $426.58 | Professional | FX · Film X-ray | $281.84 | $416.87 | $426.58 |
Where Oklahoma sits
The same service costs 6.6 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· 42nd of 51
$407
VT $1,349UT $204
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.