How much rates vary
Facilitymedian $56 · 10th to 90th $25 to $105Professionalmedian $28 · 10th to 90th $10 to $50
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 $22.39 Median $32.36 Typical High $39.81 | Facility | None | $22.39 | $32.36 | $39.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $11.22 Typical High $12.02 | Facility | 26 · Professional part | $6.31 | $11.22 | $12.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $20.89 Typical High $28.84 | Facility | TC · Technical part | $15.85 | $20.89 | $28.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $22.39 Typical High $34.67 | Professional | None (both parts) | $21.88 | $22.39 | $34.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.31 Typical High $11.48 | Professional | 26 · Professional part | $6.17 | $6.31 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $25.12 | Professional | TC · Technical part | $15.85 | $15.85 | $25.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.05 Median $28.18 Typical High $35.48 | Professional | None (both parts) | $19.05 | $28.18 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $5.89 Typical High $10.00 | Professional | 26 · Professional part | $5.89 | $5.89 | $10.00 |
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 $8.51 Median $26.92 Typical High $37.15 | Professional | None (both parts) | $8.51 | $26.92 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $45.71 Typical High $91.20 | Facility | None | $30.20 | $45.71 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $25.12 Typical High $38.90 | Professional | None (both parts) | $22.91 | $25.12 | $38.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $10.96 | Professional | 26 · Professional part | $6.92 | $6.92 | $10.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $17.78 Typical High $26.92 | Professional | TC · Technical part | $14.79 | $17.78 | $26.92 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $33.11 Typical High $147.91 | Facility | None | $23.44 | $33.11 | $147.91 |
Medica Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $186.21 | Professional | None (both parts) | $25.70 | $36.31 | $186.21 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $17.78 Typical High $64.57 | Professional | 26 · Professional part | $7.59 | $17.78 | $64.57 |
Medica Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $46.77 Typical High $162.18 | Professional | TC · Technical part | $17.38 | $46.77 | $162.18 |
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 $23.44 Median $27.54 Typical High $38.02 | Professional | None (both parts) | $23.44 | $27.54 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $11.22 | Professional | 26 · Professional part | $7.24 | $8.32 | $11.22 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $26.92 | Professional | TC · Technical part | $16.60 | $19.50 | $26.92 |
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 $10.96 Median $11.22 Typical High $14.79 | Professional | 52 · Reduced service | $10.96 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.47 Typical High $5.89 | Professional | 53 · Discontinued | $4.37 | $4.47 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | FX · Film X-ray | $17.38 | $17.38 | $19.05 |
Where Oklahoma sits
The same service costs 11.2 times more in Vermont 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
$27.54
VT $263FL $23.44
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.