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 $281.84 Median $338.84 Typical High $1,621.81 | Facility | None | $281.84 | $338.84 | $1,621.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $107.15 | Facility | 26 · Professional part | $81.28 | $97.72 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $338.84 | Facility | TC · Technical part | $190.55 | $223.87 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $371.54 | Professional | None (both parts) | $251.19 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $81.28 | $107.15 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $234.42 | Professional | TC · Technical part | $173.78 | $223.87 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $234.42 | Professional | None (both parts) | $158.49 | $223.87 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $48.98 | $60.26 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $851.14 | Facility | None | $436.52 | $602.56 | $851.14 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $64.57 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $64.57 | $208.93 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $954.99 | Facility | None | $602.56 | $602.56 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $436.52 | Professional | None (both parts) | $173.78 | $173.78 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $57.54 | $57.54 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $371.54 | Professional | TC · Technical part | $117.49 | $117.49 | $371.54 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $2,570.40 | Facility | None | $234.42 | $354.81 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $467.74 Typical High $2,818.38 | Professional | None (both parts) | $199.53 | $467.74 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $281.84 Typical High $524.81 | Professional | 26 · Professional part | $57.54 | $281.84 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $891.25 Typical High $2,454.71 | Professional | TC · Technical part | $147.91 | $891.25 | $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 $194.98 Median $234.42 Typical High $575.44 | Professional | None (both parts) | $194.98 | $234.42 | $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 $134.90 Median $162.18 Typical High $501.19 | Professional | TC · Technical part | $134.90 | $162.18 | $501.19 |
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 $165.96 Typical High $177.83 | Professional | 52 · Reduced service | $125.89 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $66.07 Typical High $70.79 | Professional | 53 · Discontinued | $50.12 | $66.07 | $70.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $263.03 Typical High $269.15 | Professional | FX · Film X-ray | $199.53 | $263.03 | $269.15 |
Where Oklahoma sits
The same service costs 13.5 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· 43rd of 51
$257
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.