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 $23.99 Median $34.67 Typical High $42.66 | Facility | None | $23.99 | $34.67 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $21.38 Typical High $31.62 | Facility | TC · Technical part | $17.38 | $21.38 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.99 Typical High $36.31 | Professional | None (both parts) | $23.44 | $23.99 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $11.48 | Professional | 26 · Professional part | $6.46 | $6.46 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.38 Typical High $23.99 | Professional | TC · Technical part | $16.98 | $17.38 | $23.99 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $23.99 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 26 · Professional part | $6.17 | $6.17 | $6.17 |
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 $28.84 Typical High $39.81 | Professional | None (both parts) | $8.51 | $28.84 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $42.66 Typical High $100.00 | Facility | None | $28.18 | $42.66 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.30 Typical High $39.81 | Professional | None (both parts) | $22.91 | $26.30 | $39.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $11.22 | Professional | 26 · Professional part | $7.08 | $7.08 | $11.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $26.92 | Professional | TC · Technical part | $14.79 | $19.50 | $26.92 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $32.36 Typical High $109.65 | Facility | None | $24.55 | $32.36 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.90 Typical High $199.53 | Professional | None (both parts) | $26.30 | $38.90 | $199.53 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $19.50 Typical High $61.66 | Professional | 26 · Professional part | $7.59 | $19.50 | $61.66 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $48.98 Typical High $154.88 | Professional | TC · Technical part | $18.20 | $48.98 | $154.88 |
United Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $269.15 | Facility | None | $45.71 | $169.82 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $39.81 | Professional | None (both parts) | $24.55 | $28.84 | $39.81 |
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 $17.38 Median $20.89 Typical High $28.84 | Professional | TC · Technical part | $17.38 | $20.89 | $28.84 |
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 $11.75 Median $11.75 Typical High $15.85 | Professional | 52 · Reduced service | $11.75 | $11.75 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.79 Typical High $6.31 | Professional | 53 · Discontinued | $4.68 | $4.79 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $18.62 Typical High $20.42 | Professional | FX · Film X-ray | $18.62 | $18.62 | $20.42 |
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· 45th of 51
$28.84
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.