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 $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 $346.74 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $346.74 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $263.03 | $416.87 | $416.87 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $1,995.26 | Facility | None | $1,023.29 | $1,412.54 | $1,995.26 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $85.11 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $85.11 | $346.74 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $977.24 Typical High $1,096.48 | Facility | None | $645.65 | $977.24 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $288.40 | $288.40 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $75.86 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $478.63 | Professional | TC · Technical part | $213.80 | $213.80 | $478.63 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $3,235.94 | Facility | None | $398.11 | $549.54 | $3,235.94 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $524.81 Typical High $3,019.95 | Professional | None (both parts) | $331.13 | $524.81 | $3,019.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $208.93 Typical High $851.14 | Professional | 26 · Professional part | $75.86 | $208.93 | $851.14 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $812.83 Typical High $2,570.40 | Professional | TC · Technical part | $269.15 | $812.83 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $323.59 | $398.11 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $91.20 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $251.19 | $302.00 | $524.81 |
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 $177.83 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $177.83 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $109.65 Typical High $112.20 | Professional | 53 · Discontinued | $70.79 | $109.65 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $436.52 Typical High $446.68 | Professional | FX · Film X-ray | $295.12 | $436.52 | $446.68 |
Where Oklahoma sits
The same service costs 5.2 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
$437
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.