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 $426.58 Median $707.95 Typical High $1,621.81 | Facility | None | $426.58 | $707.95 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $457.09 Typical High $524.81 | Professional | None (both parts) | $288.40 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $89.13 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $316.23 Typical High $338.84 | Professional | TC · Technical part | $199.53 | $316.23 | $338.84 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $389.05 Median $537.03 Typical High $758.58 | Facility | None | $389.05 | $537.03 | $758.58 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $91.20 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $91.20 | $281.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $831.76 Typical High $1,174.90 | Facility | None | $776.25 | $831.76 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $562.34 | Professional | None (both parts) | $239.88 | $239.88 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $75.86 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $436.52 | Professional | TC · Technical part | $162.18 | $162.18 | $436.52 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $457.09 Typical High $2,691.53 | Facility | None | $416.87 | $457.09 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $562.34 Typical High $3,467.37 | Professional | None (both parts) | $275.42 | $562.34 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $371.54 Typical High $645.65 | Professional | 26 · Professional part | $77.62 | $371.54 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $1,122.02 Typical High $3,019.95 | Professional | TC · Technical part | $204.17 | $1,122.02 | $3,019.95 |
United Setting Facility Modifier None Typical Low $154.88 Median $562.34 Typical High $912.01 | Facility | None | $154.88 | $562.34 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $691.83 | Professional | None (both parts) | $263.03 | $323.59 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $91.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $588.84 | Professional | TC · Technical part | $190.55 | $229.09 | $588.84 |
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 $144.54 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $144.54 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $57.54 | $91.20 | $91.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $245.47 | $363.08 | $363.08 |
Where Oklahoma sits
The same service costs 5.9 times more in Wyoming 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· 43rd of 51
$355
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.