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 $24.55 Median $33.88 Typical High $39.81 | Facility | None | $24.55 | $33.88 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $27.54 | Facility | TC · Technical part | $18.20 | $22.39 | $27.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $24.55 Typical High $37.15 | Professional | None (both parts) | $23.99 | $24.55 | $37.15 |
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 $18.20 Median $18.20 Typical High $27.54 | Professional | TC · Technical part | $18.20 | $18.20 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $23.44 Typical High $25.12 | Professional | None (both parts) | $20.42 | $23.44 | $25.12 |
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 $54.95 Median $72.44 Typical High $102.33 | Facility | None | $54.95 | $72.44 | $102.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $8.51 Median $29.51 Typical High $40.74 | Professional | None (both parts) | $8.51 | $29.51 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $42.66 Typical High $102.33 | Facility | None | $28.18 | $42.66 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $26.92 Typical High $40.74 | Professional | None (both parts) | $23.44 | $26.92 | $40.74 |
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 $15.49 Median $19.95 Typical High $28.18 | Professional | TC · Technical part | $15.49 | $19.95 | $28.18 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $33.88 Typical High $109.65 | Facility | None | $25.12 | $33.88 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $208.93 | Professional | None (both parts) | $27.54 | $39.81 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $19.50 Typical High $67.61 | Professional | 26 · Professional part | $7.59 | $19.50 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $52.48 Typical High $158.49 | Professional | TC · Technical part | $19.05 | $52.48 | $158.49 |
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 $25.70 Median $30.20 Typical High $41.69 | Professional | None (both parts) | $25.70 | $30.20 | $41.69 |
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 $18.62 Median $22.39 Typical High $30.90 | Professional | TC · Technical part | $18.62 | $22.39 | $30.90 |
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 $12.02 Median $12.30 Typical High $16.22 | Professional | 52 · Reduced service | $12.02 | $12.30 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.90 Typical High $6.46 | Professional | 53 · Discontinued | $4.79 | $4.90 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | FX · Film X-ray | $19.50 | $19.50 | $21.38 |
Where Oklahoma sits
The same service costs 3.8 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· 46th of 51
$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.