How much rates vary
Facilitymedian $60 · 10th to 90th $43 to $126Professionalmedian $39 · 10th to 90th $15 to $93
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 $32.36 Median $32.36 Typical High $50.12 | Facility | None | $32.36 | $32.36 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $32.36 Typical High $50.12 | Professional | None (both parts) | $31.62 | $32.36 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $15.85 | Professional | 26 · Professional part | $9.77 | $9.77 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $34.67 | Professional | TC · Technical part | $22.39 | $22.39 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $33.88 | $33.88 | $53.70 |
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 $12.30 Median $38.90 Typical High $52.48 | Professional | None (both parts) | $12.30 | $38.90 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $57.54 Typical High $125.89 | Facility | None | $38.02 | $57.54 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $54.95 | Professional | None (both parts) | $33.11 | $35.48 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $16.98 | Professional | 26 · Professional part | $10.00 | $10.72 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $37.15 | Professional | TC · Technical part | $22.91 | $25.12 | $37.15 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $51.29 Typical High $109.65 | Facility | None | $33.11 | $51.29 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $37.15 Median $51.29 Typical High $269.15 | Professional | None (both parts) | $37.15 | $51.29 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $29.51 Typical High $97.72 | Professional | 26 · Professional part | $10.47 | $29.51 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $63.10 Typical High $208.93 | Professional | TC · Technical part | $24.55 | $63.10 | $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 $33.11 Median $38.90 Typical High $53.70 | Professional | None (both parts) | $33.11 | $38.90 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $16.98 | Professional | 26 · Professional part | $9.77 | $12.30 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $37.15 | Professional | TC · Technical part | $22.39 | $26.92 | $37.15 |
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 $15.85 Median $16.22 Typical High $21.38 | Professional | 52 · Reduced service | $15.85 | $16.22 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.46 Typical High $8.51 | Professional | 53 · Discontinued | $6.31 | $6.46 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | FX · Film X-ray | $25.70 | $25.70 | $27.54 |
Where Oklahoma sits
The same service costs 3.7 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
$38.90
AK $123UT $33.11
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.