How much rates vary
Facilitymedian $501 · 10th to 90th $295 to $1,072Professionalmedian $219 · 10th to 90th $87 to $589
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 $263.03 Median $316.23 Typical High $1,621.81 | Facility | None | $263.03 | $316.23 | $1,621.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $123.03 | Facility | 26 · Professional part | $77.62 | $107.15 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $295.12 | Facility | TC · Technical part | $165.96 | $199.53 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $346.74 | Professional | None (both parts) | $234.42 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $85.11 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $208.93 | Professional | TC · Technical part | $154.88 | $199.53 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $186.21 | $186.21 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $52.48 | $52.48 | $83.18 |
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 $70.79 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $70.79 | $194.98 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,071.52 | Facility | None | $537.03 | $537.03 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $457.09 | Professional | None (both parts) | $165.96 | $165.96 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $63.10 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $363.08 | Professional | TC · Technical part | $102.33 | $102.33 | $363.08 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $2,570.40 | Facility | None | $316.23 | $346.74 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $478.63 Typical High $3,162.28 | Professional | None (both parts) | $190.55 | $478.63 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $309.03 Typical High $575.44 | Professional | 26 · Professional part | $63.10 | $309.03 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $933.25 Typical High $2,754.23 | Professional | TC · Technical part | $128.82 | $933.25 | $2,754.23 |
United Setting Facility Modifier None Typical Low $104.71 Median $389.05 Typical High $616.60 | Facility | None | $104.71 | $389.05 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $588.84 | Professional | None (both parts) | $181.97 | $223.87 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $75.86 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $512.86 | Professional | TC · Technical part | $120.23 | $144.54 | $512.86 |
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 $125.89 Median $158.49 Typical High $165.96 | Professional | 52 · Reduced service | $125.89 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $63.10 Typical High $67.61 | Professional | 53 · Discontinued | $50.12 | $63.10 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $251.19 Typical High $251.19 | Professional | FX · Film X-ray | $199.53 | $251.19 | $251.19 |
Where Oklahoma sits
The same service costs 24.0 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· 42nd of 51
$245
VT $2,951UT $123
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.