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 $302.00 Median $389.05 Typical High $1,071.52 | Facility | None | $302.00 | $389.05 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $131.83 | Facility | 26 · Professional part | $112.20 | $120.23 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $269.15 | Facility | TC · Technical part | $213.80 | $245.47 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $389.05 | Professional | None (both parts) | $263.03 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $114.82 | Professional | 26 · Professional part | $87.10 | $112.20 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $251.19 | Professional | TC · Technical part | $204.17 | $213.80 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $64.57 | $64.57 | $69.18 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $549.54 Median $758.58 Typical High $1,071.52 | Facility | None | $549.54 | $758.58 | $1,071.52 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $91.20 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $91.20 | $281.84 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $851.14 | Facility | None | $501.19 | $758.58 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $524.81 | Professional | None (both parts) | $245.47 | $245.47 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $77.62 | $77.62 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $380.19 | Professional | TC · Technical part | $165.96 | $165.96 | $380.19 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $371.54 Typical High $2,511.89 | Facility | None | $331.13 | $371.54 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $467.74 Typical High $3,162.28 | Professional | None (both parts) | $275.42 | $467.74 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $208.93 Typical High $1,000.00 | Professional | 26 · Professional part | $79.43 | $208.93 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $724.44 Typical High $2,691.53 | Professional | TC · Technical part | $190.55 | $724.44 | $2,691.53 |
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 $257.04 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $257.04 | $309.03 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $75.86 | $93.33 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $436.52 | Professional | TC · Technical part | $177.83 | $213.80 | $436.52 |
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 $131.83 Median $162.18 Typical High $165.96 | Professional | 52 · Reduced service | $131.83 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $66.07 Typical High $67.61 | Professional | 53 · Discontinued | $52.48 | $66.07 | $67.61 |
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 $263.03 Typical High $269.15 | Professional | FX · Film X-ray | $218.78 | $263.03 | $269.15 |
Where Oklahoma sits
The same service costs 12.3 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· 41st 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.