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 $21.38 Median $32.36 Typical High $34.67 | Facility | None | $21.38 | $32.36 | $34.67 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $10.47 Typical High $11.22 | Facility | 26 · Professional part | $6.03 | $10.47 | $11.22 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $21.38 Typical High $28.18 | Facility | TC · Technical part | $15.49 | $21.38 | $28.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $33.88 | Professional | None (both parts) | $21.38 | $21.38 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.03 Typical High $10.47 | Professional | 26 · Professional part | $5.89 | $6.03 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.49 Typical High $23.99 | Professional | TC · Technical part | $15.14 | $15.49 | $23.99 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.05 Median $22.39 Typical High $32.36 | Professional | None (both parts) | $19.05 | $22.39 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $5.89 Typical High $6.31 | Professional | 26 · Professional part | $5.89 | $5.89 | $6.31 |
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 $7.76 Median $26.30 Typical High $36.31 | Professional | None (both parts) | $7.76 | $26.30 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $42.66 Typical High $89.13 | Facility | None | $28.18 | $42.66 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $23.99 Typical High $37.15 | Professional | None (both parts) | $22.39 | $23.99 | $37.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $10.23 | Professional | 26 · Professional part | $6.61 | $6.61 | $10.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $17.38 Typical High $26.92 | Professional | TC · Technical part | $14.79 | $17.38 | $26.92 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $32.36 Typical High $67.61 | Facility | None | $22.39 | $32.36 | $67.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $181.97 | Professional | None (both parts) | $24.55 | $35.48 | $181.97 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $18.20 Typical High $67.61 | Professional | 26 · Professional part | $7.08 | $18.20 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $45.71 Typical High $154.88 | Professional | TC · Technical part | $17.38 | $45.71 | $154.88 |
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 $22.39 Median $26.92 Typical High $37.15 | Professional | None (both parts) | $22.39 | $26.92 | $37.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.59 Typical High $10.47 | Professional | 26 · Professional part | $6.61 | $7.59 | $10.47 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.05 Typical High $26.30 | Professional | TC · Technical part | $16.22 | $19.05 | $26.30 |
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 $10.72 Median $10.72 Typical High $14.13 | Professional | 52 · Reduced service | $10.72 | $10.72 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.62 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $16.98 Typical High $18.62 | Professional | FX · Film X-ray | $16.98 | $16.98 | $18.62 |
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· 46th of 51
$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.