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 $407.38 Median $741.31 Typical High $1,621.81 | Facility | None | $407.38 | $741.31 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $251.19 | $338.84 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $141.25 | $257.04 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $269.15 Typical High $295.12 | Professional | TC · Technical part | $186.21 | $269.15 | $295.12 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $158.49 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $158.49 | $407.38 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,862.09 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $141.25 | $141.25 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,621.81 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $1,174.90 Typical High $5,495.41 | Facility | None | $338.84 | $1,174.90 | $5,495.41 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,318.26 Typical High $9,332.54 | Professional | None (both parts) | $323.59 | $1,318.26 | $9,332.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $676.08 Typical High $1,000.00 | Professional | 26 · Professional part | $134.90 | $676.08 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $741.31 Typical High $9,120.11 | Professional | TC · Technical part | $162.18 | $741.31 | $9,120.11 |
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 $295.12 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $295.12 | $354.81 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $323.59 | Professional | 26 · Professional part | $134.90 | $169.82 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $154.88 | $199.53 | $371.54 |
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 $125.89 Median $169.82 Typical High $173.78 | Professional | 52 · Reduced service | $125.89 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $67.61 Typical High $69.18 | Professional | 53 · Discontinued | $50.12 | $67.61 | $69.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $275.42 Typical High $275.42 | Professional | FX · Film X-ray | $199.53 | $275.42 | $275.42 |
Where Oklahoma sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 32nd of 51
$525
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.