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 $39.81 Median $56.23 Typical High $60.26 | Facility | None | $39.81 | $56.23 | $60.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $21.38 Typical High $22.91 | Facility | 26 · Professional part | $10.72 | $21.38 | $22.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $44.67 | Facility | TC · Technical part | $29.51 | $34.67 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $39.81 | $40.74 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $10.47 | $10.72 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.20 Typical High $42.66 | Professional | TC · Technical part | $29.51 | $30.20 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $33.88 | $39.81 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.72 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.72 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $30.20 | $30.20 | $48.98 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $102.33 | Facility | None | $51.29 | $72.44 | $102.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $15.14 Median $48.98 Typical High $66.07 | Professional | None (both parts) | $15.14 | $48.98 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $173.78 | Facility | None | $51.29 | $77.62 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $69.18 | Professional | None (both parts) | $41.69 | $45.71 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $11.75 | $11.75 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $46.77 | Professional | TC · Technical part | $27.54 | $33.88 | $46.77 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $57.54 Typical High $223.87 | Facility | None | $42.66 | $57.54 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $346.74 | Professional | None (both parts) | $45.71 | $64.57 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $35.48 Typical High $114.82 | Professional | 26 · Professional part | $12.59 | $35.48 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $83.18 Typical High $257.04 | Professional | TC · Technical part | $31.62 | $83.18 | $257.04 |
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 $40.74 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $40.74 | $48.98 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $19.50 | Professional | 26 · Professional part | $12.02 | $14.13 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $29.51 | $35.48 | $48.98 |
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 $19.95 Median $20.42 Typical High $26.92 | Professional | 52 · Reduced service | $19.95 | $20.42 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $10.72 | Professional | 53 · Discontinued | $7.94 | $8.13 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | FX · Film X-ray | $32.36 | $32.36 | $35.48 |
Where Oklahoma sits
The same service costs 4.8 times more in Alaska 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· 45th of 51
$48.98
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.