How much rates vary
Facilitymedian $398 · 10th to 90th $178 to $851Professionalmedian $162 · 10th to 90th $59 to $339
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 $165.96 Median $223.87 Typical High $1,071.52 | Facility | None | $165.96 | $223.87 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $72.44 | Facility | 26 · Professional part | $63.10 | $67.61 | $72.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $154.88 | Facility | TC · Technical part | $104.71 | $144.54 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $158.49 | $165.96 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $51.29 | $63.10 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $100.00 | $104.71 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $426.58 Median $575.44 Typical High $794.33 | Facility | None | $426.58 | $575.44 | $794.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $50.12 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $50.12 | $128.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $363.08 Typical High $426.58 | Facility | None | $281.84 | $363.08 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $112.20 | $112.20 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $41.69 | $41.69 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $194.98 | Professional | TC · Technical part | $70.79 | $70.79 | $194.98 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $181.97 Typical High $2,511.89 | Facility | None | $169.82 | $181.97 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $229.09 Typical High $1,380.38 | Professional | None (both parts) | $134.90 | $229.09 | $1,380.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $117.49 Typical High $302.00 | Professional | 26 · Professional part | $44.67 | $117.49 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $416.87 Typical High $1,318.26 | Professional | TC · Technical part | $95.50 | $416.87 | $1,318.26 |
United Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $269.15 | Facility | None | $45.71 | $169.82 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $134.90 | $162.18 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $51.29 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $91.20 | $112.20 | $213.80 |
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 $75.86 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $34.67 | Professional | 53 · Discontinued | $30.90 | $33.88 | $34.67 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $144.54 Typical High $144.54 | Professional | CT · Older CT scanner | $138.04 | $144.54 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $128.82 | $138.04 | $138.04 |
Where Oklahoma sits
The same service costs 5.8 times more in Vermont than in Utah. 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
$162
VT $603UT $105
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.