How much rates vary
Facilitymedian $60 · 10th to 90th $28 to $102Professionalmedian $20 · 10th to 90th $9 to $40
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 $16.22 Median $17.78 Typical High $30.90 | Facility | None | $16.22 | $17.78 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.60 Typical High $28.84 | Professional | None (both parts) | $16.22 | $16.60 | $28.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.03 Typical High $10.96 | Professional | 26 · Professional part | $5.89 | $6.03 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.47 Typical High $18.62 | Professional | TC · Technical part | $10.23 | $10.47 | $18.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.49 Median $15.85 Typical High $24.55 | Professional | None (both parts) | $13.49 | $15.85 | $24.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 26 · Professional part | $5.62 | $5.62 | $5.62 |
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 $7.76 Median $19.95 Typical High $27.54 | Professional | None (both parts) | $7.76 | $19.95 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $42.66 Typical High $60.26 | Facility | None | $27.54 | $42.66 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $28.84 | Professional | None (both parts) | $18.62 | $18.62 | $28.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $10.23 | Professional | 26 · Professional part | $6.61 | $6.61 | $10.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $11.75 Typical High $18.62 | Professional | TC · Technical part | $11.75 | $11.75 | $18.62 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $28.18 Typical High $67.61 | Facility | None | $17.38 | $28.18 | $67.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $19.95 Median $27.54 Typical High $173.78 | Professional | None (both parts) | $19.95 | $27.54 | $173.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $18.20 Typical High $72.44 | Professional | 26 · Professional part | $7.08 | $18.20 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $34.67 Typical High $147.91 | Professional | TC · Technical part | $12.30 | $34.67 | $147.91 |
United Setting Facility Modifier None Typical Low $38.02 Median $141.25 Typical High $223.87 | Facility | None | $38.02 | $141.25 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $17.78 Median $21.88 Typical High $30.90 | Professional | None (both parts) | $17.78 | $21.88 | $30.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.59 Typical High $10.47 | Professional | 26 · Professional part | $6.61 | $7.59 | $10.47 |
United Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $13.80 Typical High $20.42 | Professional | TC · Technical part | $10.96 | $13.80 | $20.42 |
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 $8.13 Median $8.32 Typical High $10.72 | Professional | 52 · Reduced service | $8.13 | $8.32 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.31 Typical High $4.37 | Professional | 53 · Discontinued | $3.24 | $3.31 | $4.37 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | FX · Film X-ray | $12.88 | $12.88 | $14.45 |
Where Oklahoma sits
The same service costs 3.7 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· 47th of 51
$21.38
AK $64.57FL $17.38
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.