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 $229.09 Median $302.00 Typical High $1,071.52 | Facility | None | $229.09 | $302.00 | $1,071.52 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $218.78 | Facility | TC · Technical part | $144.54 | $204.17 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $199.53 | $213.80 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $72.44 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $177.83 | Professional | TC · Technical part | $131.83 | $144.54 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $40.74 | $51.29 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $407.38 Median $562.34 Typical High $794.33 | Facility | None | $407.38 | $562.34 | $794.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $58.88 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $58.88 | $165.96 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $512.86 | Facility | None | $338.84 | $489.78 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $323.59 | Professional | None (both parts) | $144.54 | $144.54 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $48.98 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $95.50 | $251.19 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $229.09 Typical High $2,511.89 | Facility | None | $218.78 | $229.09 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $288.40 Typical High $1,621.81 | Professional | None (both parts) | $165.96 | $288.40 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $134.90 Typical High $380.19 | Professional | 26 · Professional part | $48.98 | $134.90 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $489.78 Typical High $1,348.96 | Professional | TC · Technical part | $123.03 | $489.78 | $1,348.96 |
United Setting Facility Modifier None Typical Low $77.62 Median $281.84 Typical High $457.09 | Facility | None | $77.62 | $281.84 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $165.96 | $204.17 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $47.86 | $58.88 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $275.42 | Professional | TC · Technical part | $117.49 | $147.91 | $275.42 |
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 $85.11 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $85.11 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $43.65 Typical High $44.67 | Professional | 53 · Discontinued | $33.88 | $43.65 | $44.67 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $186.21 Typical High $186.21 | Professional | CT · Older CT scanner | $154.88 | $186.21 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $147.91 | $177.83 | $177.83 |
Where Oklahoma sits
The same service costs 5.4 times more in Alaska 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
$209
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.