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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $83.18 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $31.62 | $31.62 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $70.79 | Professional | TC · Technical part | $52.48 | $52.48 | $70.79 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $346.74 | Facility | None | $190.55 | $251.19 | $346.74 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $41.69 Median $100.00 Typical High $138.04 | Professional | None (both parts) | $41.69 | $100.00 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $295.12 Typical High $457.09 | Facility | None | $234.42 | $295.12 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $91.20 | $93.33 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $35.48 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $104.71 | Professional | TC · Technical part | $52.48 | $56.23 | $104.71 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $676.08 | Facility | None | $89.13 | $147.91 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $165.96 Typical High $1,122.02 | Professional | None (both parts) | $93.33 | $165.96 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $93.33 Typical High $363.08 | Professional | 26 · Professional part | $38.02 | $93.33 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $186.21 Typical High $912.01 | Professional | TC · Technical part | $53.70 | $186.21 | $912.01 |
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 $83.18 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $83.18 | $104.71 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $39.81 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $63.10 | $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 $41.69 Median $42.66 Typical High $52.48 | Professional | 52 · Reduced service | $41.69 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $20.89 | Professional | 53 · Discontinued | $16.60 | $16.98 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | FX · Film X-ray | $67.61 | $67.61 | $72.44 |
Where Oklahoma sits
The same service costs 4.3 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· 37th of 51
$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.