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 $213.80 Median $302.00 Typical High $1,071.52 | Facility | None | $213.80 | $302.00 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $89.13 | Facility | 26 · Professional part | $72.44 | $85.11 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $213.80 | Facility | TC · Technical part | $144.54 | $181.97 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $204.17 | $213.80 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $79.43 | Professional | 26 · Professional part | $60.26 | $72.44 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $134.90 | $144.54 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $107.15 | $128.82 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $41.69 | $41.69 | $51.29 |
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 $63.10 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $63.10 | $165.96 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $489.78 Typical High $616.60 | Facility | None | $407.38 | $489.78 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $354.81 | Professional | None (both parts) | $144.54 | $144.54 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $48.98 | $48.98 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $245.47 | Professional | TC · Technical part | $95.50 | $95.50 | $245.47 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $302.00 Typical High $2,511.89 | Facility | None | $223.87 | $302.00 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $302.00 Typical High $1,905.46 | Professional | None (both parts) | $169.82 | $302.00 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $144.54 Typical High $446.68 | Professional | 26 · Professional part | $52.48 | $144.54 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $549.54 Typical High $1,584.89 | Professional | TC · Technical part | $123.03 | $549.54 | $1,584.89 |
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 $169.82 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $169.82 | $199.53 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $64.57 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $275.42 | Professional | TC · Technical part | $112.20 | $134.90 | $275.42 |
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 $85.11 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $85.11 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $33.88 | $42.66 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $186.21 Typical High $186.21 | Professional | CT · Older CT scanner | $154.88 | $186.21 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $147.91 | $177.83 | $177.83 |
Where Oklahoma sits
The same service costs 5.9 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
$209
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.