How much rates vary
Facilitymedian $58 · 10th to 90th $31 to $115Professionalmedian $34 · 10th to 90th $8 to $62
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 $28.18 Median $38.02 Typical High $53.70 | Facility | None | $28.18 | $38.02 | $53.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.37 Median $9.55 Typical High $10.00 | Facility | 26 · Professional part | $5.37 | $9.55 | $10.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $43.65 | Facility | TC · Technical part | $22.91 | $28.84 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $44.67 | Professional | None (both parts) | $28.18 | $28.18 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $5.37 Typical High $9.55 | Professional | 26 · Professional part | $5.37 | $5.37 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $36.31 | Professional | TC · Technical part | $22.91 | $22.91 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.18 Typical High $50.12 | Professional | None (both parts) | $23.99 | $28.18 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $5.13 Typical High $6.46 | Professional | 26 · Professional part | $5.13 | $5.13 | $6.46 |
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 $6.92 Median $33.88 Typical High $46.77 | Professional | None (both parts) | $6.92 | $33.88 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $42.66 Typical High $131.83 | Facility | None | $31.62 | $42.66 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $24.55 | $32.36 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $5.89 Typical High $9.33 | Professional | 26 · Professional part | $5.89 | $5.89 | $9.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.30 Typical High $34.67 | Professional | TC · Technical part | $18.62 | $26.30 | $34.67 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $39.81 Typical High $112.20 | Facility | None | $29.51 | $39.81 | $112.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.18 Median $43.65 Typical High $239.88 | Professional | None (both parts) | $28.18 | $43.65 | $239.88 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $15.49 Typical High $51.29 | Professional | 26 · Professional part | $6.03 | $15.49 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $64.57 Typical High $199.53 | Professional | TC · Technical part | $21.38 | $64.57 | $199.53 |
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 $26.92 Median $32.36 Typical High $46.77 | Professional | None (both parts) | $26.92 | $32.36 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.92 Typical High $9.55 | Professional | 26 · Professional part | $6.03 | $6.92 | $9.55 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $38.02 | Professional | TC · Technical part | $20.89 | $25.70 | $38.02 |
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 $14.13 Median $14.13 Typical High $18.62 | Professional | 52 · Reduced service | $14.13 | $14.13 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $7.59 | Professional | 53 · Discontinued | $5.62 | $5.62 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | FX · Film X-ray | $22.39 | $22.39 | $24.55 |
Where Oklahoma sits
The same service costs 11.5 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· 44th of 51
$33.88
VT $339FL $29.51
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.