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 $436.52 Median $501.19 Typical High $1,621.81 | Facility | None | $436.52 | $501.19 | $1,621.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $389.05 Typical High $588.84 | Facility | TC · Technical part | $363.08 | $389.05 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $380.19 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $263.03 | $389.05 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
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 $83.18 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $83.18 | $331.13 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,148.15 | Facility | None | $758.58 | $1,023.29 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $588.84 | Professional | None (both parts) | $269.15 | $269.15 | $588.84 |
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 $199.53 Median $199.53 Typical High $457.09 | Professional | TC · Technical part | $199.53 | $199.53 | $457.09 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $3,019.95 | Facility | None | $371.54 | $524.81 | $3,019.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $562.34 Typical High $3,311.31 | Professional | None (both parts) | $316.23 | $562.34 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $338.84 Typical High $602.56 | Professional | 26 · Professional part | $67.61 | $338.84 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $1,174.90 Typical High $2,951.21 | Professional | TC · Technical part | $257.04 | $1,174.90 | $2,951.21 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,258.93 Typical High $2,041.74 | Facility | None | $346.74 | $1,258.93 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $758.58 | Professional | None (both parts) | $309.03 | $371.54 | $758.58 |
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 $239.88 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $239.88 | $288.40 | $588.84 |
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 $165.96 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $165.96 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $66.07 | $104.71 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $275.42 | $416.87 | $416.87 |
Where Oklahoma sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 40th of 51
$417
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.