How much rates vary
Facilitymedian $832 · 10th to 90th $398 to $1,698Professionalmedian $339 · 10th to 90th $105 to $3,311
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 $426.58 Median $741.31 Typical High $1,621.81 | Facility | None | $426.58 | $741.31 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $109.65 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,698.24 | Facility | None | $851.14 | $1,202.26 | $1,698.24 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $81.28 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $81.28 | $275.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $812.83 Typical High $1,148.15 | Facility | None | $758.58 | $812.83 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $562.34 | Professional | None (both parts) | $223.87 | $223.87 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $69.18 | $69.18 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $446.68 | Professional | TC · Technical part | $158.49 | $158.49 | $446.68 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $436.52 Typical High $2,570.40 | Facility | None | $398.11 | $436.52 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $537.03 Typical High $3,311.31 | Professional | None (both parts) | $263.03 | $537.03 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $338.84 Typical High $616.60 | Professional | 26 · Professional part | $67.61 | $338.84 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $1,096.48 Typical High $2,951.21 | Professional | TC · Technical part | $204.17 | $1,096.48 | $2,951.21 |
United Setting Facility Modifier None Typical Low $154.88 Median $562.34 Typical High $912.01 | Facility | None | $154.88 | $562.34 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $660.69 | Professional | None (both parts) | $257.04 | $316.23 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $83.18 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $575.44 | Professional | TC · Technical part | $186.21 | $229.09 | $575.44 |
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 $138.04 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $138.04 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $54.95 | $87.10 | $87.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $346.74 Typical High $346.74 | Professional | FX · Film X-ray | $229.09 | $346.74 | $346.74 |
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· 41st of 51
$372
WY $1,047UT $191
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.