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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $109.65 | Professional | None (both parts) | $89.13 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $36.31 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $54.95 Typical High $60.26 | Professional | TC · Technical part | $53.70 | $54.95 | $60.26 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $45.71 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $45.71 | $100.00 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $457.09 | Facility | None | $245.47 | $275.42 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $91.20 | $91.20 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $38.02 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $104.71 | Professional | TC · Technical part | $52.48 | $52.48 | $104.71 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $144.54 Typical High $676.08 | Facility | None | $95.50 | $144.54 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $1,174.90 | Professional | None (both parts) | $102.33 | $169.82 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $102.33 Typical High $346.74 | Professional | 26 · Professional part | $42.66 | $102.33 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $186.21 Typical High $954.99 | Professional | TC · Technical part | $56.23 | $186.21 | $954.99 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,258.93 Typical High $2,041.74 | Facility | None | $346.74 | $1,258.93 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $91.20 | $114.82 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $38.90 | $46.77 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $66.07 | $128.82 |
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 $44.67 Median $45.71 Typical High $54.95 | Professional | 52 · Reduced service | $44.67 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $18.20 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | FX · Film X-ray | $72.44 | $72.44 | $77.62 |
Where Oklahoma sits
The same service costs 4.6 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· 44th of 51
$115
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.