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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | None (both parts) | $128.82 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $52.48 | $53.70 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | TC · Technical part | $75.86 | $75.86 | $81.28 |
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 $64.57 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $64.57 | $138.04 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $371.54 Typical High $524.81 | Facility | None | $346.74 | $371.54 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $125.89 | $128.82 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $58.88 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $72.44 | $138.04 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $229.09 Typical High $977.24 | Facility | None | $134.90 | $229.09 | $977.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $257.04 Typical High $1,698.24 | Professional | None (both parts) | $128.82 | $257.04 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $154.88 Typical High $489.78 | Professional | 26 · Professional part | $61.66 | $154.88 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $281.84 Typical High $1,348.96 | Professional | TC · Technical part | $64.57 | $281.84 | $1,348.96 |
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 $114.82 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $114.82 | $144.54 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $91.20 | Professional | 26 · Professional part | $56.23 | $66.07 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $194.98 | Professional | TC · Technical part | $60.26 | $75.86 | $194.98 |
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 $64.57 Median $64.57 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | 53 · Discontinued | $25.70 | $25.70 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | FX · Film X-ray | $102.33 | $102.33 | $107.15 |
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· 41st of 51
$174
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.