How much rates vary
Facilitymedian $59 · 10th to 90th $29 to $123Professionalmedian $33 · 10th to 90th $10 to $59
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 $27.54 Median $38.02 Typical High $85.11 | Facility | None | $27.54 | $38.02 | $85.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $12.59 | Facility | 26 · Professional part | $6.76 | $7.94 | $12.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $39.81 | Facility | TC · Technical part | $20.89 | $25.70 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $44.67 | Professional | None (both parts) | $27.54 | $27.54 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $11.75 | Professional | 26 · Professional part | $6.76 | $6.76 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $33.88 | Professional | TC · Technical part | $20.89 | $20.89 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $23.44 | $32.36 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $8.71 | Professional | 26 · Professional part | $6.61 | $6.61 | $8.71 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $46.77 | Professional | TC · Technical part | $20.89 | $20.89 | $46.77 |
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 $8.32 Median $33.11 Typical High $45.71 | Professional | None (both parts) | $8.32 | $33.11 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $46.77 Typical High $123.03 | Facility | None | $30.90 | $46.77 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $44.67 | Professional | None (both parts) | $26.30 | $31.62 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $11.75 | Professional | 26 · Professional part | $7.41 | $7.41 | $11.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $31.62 | Professional | TC · Technical part | $18.20 | $23.99 | $31.62 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $208.93 | Facility | None | $30.90 | $39.81 | $208.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $234.42 | Professional | None (both parts) | $30.20 | $44.67 | $234.42 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $16.98 Typical High $67.61 | Professional | 26 · Professional part | $8.13 | $16.98 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $58.88 Typical High $181.97 | Professional | TC · Technical part | $21.88 | $58.88 | $181.97 |
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 $28.18 Median $33.88 Typical High $46.77 | Professional | None (both parts) | $28.18 | $33.88 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $11.75 | Professional | 26 · Professional part | $7.41 | $8.51 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $34.67 | Professional | TC · Technical part | $20.89 | $25.12 | $34.67 |
4 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 $13.80 Median $13.80 Typical High $18.62 | Professional | 52 · Reduced service | $13.80 | $13.80 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $7.41 | Professional | 53 · Discontinued | $5.50 | $5.50 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | FX · Film X-ray | $21.88 | $21.88 | $23.99 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $43.65 Median $61.66 Typical High $64.57 | Professional | 50 · Both sides | $43.65 | $61.66 | $64.57 |
Where Oklahoma sits
The same service costs 13.5 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
$33.11
VT $389FL $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.