How much rates vary
Facilitymedian $58 · 10th to 90th $32 to $123Professionalmedian $37 · 10th to 90th $13 to $65
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 $30.20 Median $34.67 Typical High $46.77 | Facility | None | $30.20 | $34.67 | $46.77 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $16.60 | Facility | 26 · Professional part | $8.51 | $9.77 | $16.60 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $39.81 | Facility | TC · Technical part | $21.38 | $25.70 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $46.77 | Professional | None (both parts) | $30.20 | $30.20 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $15.49 | Professional | 26 · Professional part | $8.71 | $8.71 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.88 Typical High $33.88 | Professional | TC · Technical part | $21.38 | $21.88 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $45.71 | Professional | None (both parts) | $25.12 | $29.51 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $13.80 | Professional | 26 · Professional part | $8.13 | $8.13 | $13.80 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $31.62 | Professional | TC · Technical part | $18.20 | $21.38 | $31.62 |
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 $11.75 Median $37.15 Typical High $50.12 | Professional | None (both parts) | $11.75 | $37.15 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $57.54 Typical High $123.03 | Facility | None | $38.02 | $57.54 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.88 Typical High $52.48 | Professional | None (both parts) | $31.62 | $33.88 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $15.14 | Professional | 26 · Professional part | $9.55 | $9.55 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $21.38 | $23.99 | $34.67 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $45.71 Typical High $263.03 | Facility | None | $31.62 | $45.71 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $257.04 | Professional | None (both parts) | $34.67 | $48.98 | $257.04 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $22.39 Typical High $83.18 | Professional | 26 · Professional part | $10.23 | $22.39 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $60.26 Typical High $208.93 | Professional | TC · Technical part | $22.91 | $60.26 | $208.93 |
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 $30.90 Median $36.31 Typical High $51.29 | Professional | None (both parts) | $30.90 | $36.31 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $15.14 | Professional | 26 · Professional part | $9.55 | $10.96 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $35.48 | Professional | TC · Technical part | $21.88 | $25.70 | $35.48 |
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 $15.14 Median $15.14 Typical High $19.95 | Professional | 52 · Reduced service | $15.14 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $7.94 | Professional | 53 · Discontinued | $6.03 | $6.03 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | FX · Film X-ray | $23.99 | $23.99 | $26.30 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 59 · Distinct service | $29.51 | $29.51 | $29.51 |
Where Oklahoma sits
The same service costs 12.6 times more in Vermont than in Florida. 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
$37.15
VT $389FL $30.90
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.