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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $85.11 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
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 $42.66 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $42.66 | $104.71 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $1,548.82 | Facility | None | $302.00 | $446.68 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $93.33 | $95.50 | $177.83 |
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 $54.95 Median $58.88 Typical High $97.72 | Professional | TC · Technical part | $54.95 | $58.88 | $97.72 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $3,630.78 | Facility | None | $91.20 | $120.23 | $3,630.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $208.93 Typical High $1,949.84 | Professional | None (both parts) | $97.72 | $208.93 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $93.33 Typical High $549.54 | Professional | 26 · Professional part | $38.90 | $93.33 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $295.12 Typical High $1,737.80 | Professional | TC · Technical part | $54.95 | $295.12 | $1,737.80 |
United Setting Facility Modifier None Typical Low $851.14 Median $3,162.28 Typical High $5,011.87 | Facility | None | $851.14 | $3,162.28 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $87.10 | $109.65 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $41.69 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $186.21 | Professional | TC · Technical part | $52.48 | $64.57 | $186.21 |
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 $42.66 Median $43.65 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $43.65 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.38 Typical High $21.38 | Professional | 53 · Discontinued | $16.98 | $17.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | FX · Film X-ray | $69.18 | $69.18 | $75.86 |
Where Oklahoma sits
The same service costs 4.0 times more in Alaska than in Florida. 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
$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.