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 $371.54 Median $457.09 Typical High $1,621.81 | Facility | None | $371.54 | $457.09 | $1,621.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $363.08 | Facility | TC · Technical part | $213.80 | $288.40 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $426.58 | Professional | None (both parts) | $269.15 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $79.43 | $107.15 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $269.15 | Professional | TC · Technical part | $190.55 | $263.03 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,698.24 | Facility | None | $912.01 | $1,202.26 | $1,698.24 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $67.61 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $67.61 | $234.42 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $954.99 | Facility | None | $630.96 | $691.83 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $489.78 | Professional | None (both parts) | $190.55 | $190.55 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $57.54 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $407.38 | Professional | TC · Technical part | $134.90 | $134.90 | $407.38 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $371.54 Typical High $2,570.40 | Facility | None | $346.74 | $371.54 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $467.74 Typical High $2,818.38 | Professional | None (both parts) | $223.87 | $467.74 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $275.42 Typical High $537.03 | Professional | 26 · Professional part | $56.23 | $275.42 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $1,023.29 Typical High $2,454.71 | Professional | TC · Technical part | $173.78 | $1,023.29 | $2,454.71 |
United Setting Facility Modifier None Typical Low $104.71 Median $389.05 Typical High $616.60 | Facility | None | $104.71 | $389.05 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $218.78 | $269.15 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $54.95 | $69.18 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $512.86 | Professional | TC · Technical part | $158.49 | $194.98 | $512.86 |
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 $125.89 Median $181.97 Typical High $186.21 | Professional | 52 · Reduced service | $125.89 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $74.13 Typical High $75.86 | Professional | 53 · Discontinued | $50.12 | $74.13 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $295.12 Typical High $295.12 | Professional | FX · Film X-ray | $199.53 | $295.12 | $295.12 |
Where Oklahoma sits
The same service costs 5.5 times more in Wyoming 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· 43rd of 51
$288
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.