How much rates vary
Facilitymedian $398 · 10th to 90th $178 to $851Professionalmedian $166 · 10th to 90th $65 to $355
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 $173.78 Median $218.78 Typical High $1,071.52 | Facility | None | $173.78 | $218.78 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $74.13 | Facility | 26 · Professional part | $67.61 | $69.18 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $154.88 | Facility | TC · Technical part | $104.71 | $112.20 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $162.18 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $72.44 | Professional | 26 · Professional part | $52.48 | $67.61 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $144.54 | Professional | TC · Technical part | $100.00 | $104.71 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $128.82 | $128.82 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $38.02 | $64.57 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $426.58 Median $575.44 Typical High $794.33 | Facility | None | $426.58 | $575.44 | $794.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $51.29 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $51.29 | $131.83 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $512.86 | Facility | None | $338.84 | $363.08 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $295.12 | Professional | None (both parts) | $114.82 | $114.82 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $45.71 | $45.71 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $69.18 | $190.55 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $2,511.89 | Facility | None | $177.83 | $208.93 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $251.19 Typical High $1,621.81 | Professional | None (both parts) | $138.04 | $251.19 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $123.03 Typical High $398.11 | Professional | 26 · Professional part | $47.86 | $123.03 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $457.09 Typical High $1,380.38 | Professional | TC · Technical part | $91.20 | $457.09 | $1,380.38 |
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 $138.04 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $138.04 | $162.18 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $58.88 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $204.17 | Professional | TC · Technical part | $85.11 | $102.33 | $204.17 |
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 $77.62 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $77.62 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $34.67 Typical High $35.48 | Professional | 53 · Discontinued | $31.62 | $34.67 | $35.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $151.36 Typical High $151.36 | Professional | CT · Older CT scanner | $141.25 | $151.36 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $131.83 | $141.25 | $141.25 |
Where Oklahoma sits
The same service costs 6.2 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
$166
VT $617UT $100
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.