How much rates vary
Facilitymedian $51 · 10th to 90th $29 to $110Professionalmedian $32 · 10th to 90th $10 to $56
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 $25.70 Median $36.31 Typical High $46.77 | Facility | None | $25.70 | $36.31 | $46.77 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.46 Median $7.24 Typical High $13.49 | Facility | 26 · Professional part | $6.46 | $7.24 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $35.48 | Facility | TC · Technical part | $19.05 | $23.99 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $40.74 | Professional | None (both parts) | $25.70 | $25.70 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $12.02 | Professional | 26 · Professional part | $6.46 | $6.46 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.50 Typical High $30.20 | Professional | TC · Technical part | $19.05 | $19.50 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.05 Median $26.30 Typical High $38.90 | Professional | None (both parts) | $19.05 | $26.30 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $10.96 | Professional | 26 · Professional part | $6.17 | $6.17 | $10.96 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $41.69 | Professional | TC · Technical part | $23.44 | $28.18 | $41.69 |
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 $9.55 Median $31.62 Typical High $43.65 | Professional | None (both parts) | $9.55 | $31.62 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $45.71 Typical High $109.65 | Facility | None | $30.20 | $45.71 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $43.65 | Professional | None (both parts) | $24.55 | $28.84 | $43.65 |
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 $16.22 Median $21.38 Typical High $30.20 | Professional | TC · Technical part | $16.22 | $21.38 | $30.20 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $37.15 Typical High $141.25 | Facility | None | $27.54 | $37.15 | $141.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $218.78 | Professional | None (both parts) | $28.84 | $41.69 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $19.50 Typical High $67.61 | Professional | 26 · Professional part | $7.76 | $19.50 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $56.23 Typical High $169.82 | Professional | TC · Technical part | $20.42 | $56.23 | $169.82 |
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 $44.67 | Professional | None (both parts) | $26.92 | $32.36 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $11.22 | Professional | 26 · Professional part | $7.41 | $8.32 | $11.22 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $33.11 | Professional | TC · Technical part | $19.50 | $23.44 | $33.11 |
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 $12.88 Median $12.88 Typical High $17.38 | Professional | 52 · Reduced service | $12.88 | $12.88 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.25 Typical High $6.92 | Professional | 53 · Discontinued | $5.13 | $5.25 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | FX · Film X-ray | $20.42 | $20.42 | $22.39 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $33.88 Median $39.81 Typical High $54.95 | Professional | 50 · Both sides | $33.88 | $39.81 | $54.95 |
Where Oklahoma sits
The same service costs 12.9 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
$31.62
VT $347FL $26.92
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.