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 $251.19 Median $501.19 Typical High $1,071.52 | Facility | None | $251.19 | $501.19 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $190.55 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $75.86 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $177.83 Typical High $181.97 | Professional | TC · Technical part | $131.83 | $177.83 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $53.70 | $91.20 |
BCBS Setting Facility Modifier None Typical Low $407.38 Median $562.34 Typical High $794.33 | Facility | None | $407.38 | $562.34 | $794.33 |
BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $60.26 | $194.98 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $645.65 | Facility | None | $426.58 | $602.56 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $169.82 | $169.82 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $51.29 | $51.29 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $302.00 | Professional | TC · Technical part | $117.49 | $117.49 | $302.00 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $275.42 Typical High $2,511.89 | Facility | None | $257.04 | $275.42 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $2,089.30 | Professional | None (both parts) | $199.53 | $354.81 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $151.36 Typical High $380.19 | Professional | 26 · Professional part | $51.29 | $151.36 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $602.56 Typical High $1,737.80 | Professional | TC · Technical part | $158.49 | $602.56 | $1,737.80 |
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 $199.53 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $199.53 | $245.47 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $50.12 | $61.66 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $147.91 | $186.21 | $354.81 |
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 $97.72 Median $125.89 Typical High $128.82 | Professional | 52 · Reduced service | $97.72 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $38.90 | $50.12 | $51.29 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $218.78 Typical High $218.78 | Professional | CT · Older CT scanner | $181.97 | $218.78 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $169.82 | $208.93 | $208.93 |
Where Oklahoma sits
The same service costs 5.1 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· 42nd of 51
$251
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.