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 $97.72 Median $151.36 Typical High $151.36 | Facility | None | $97.72 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $95.50 | $97.72 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $30.90 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $66.07 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $251.19 Median $346.74 Typical High $489.78 | Facility | None | $251.19 | $346.74 | $489.78 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $38.02 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $38.02 | $117.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $354.81 | Facility | None | $83.18 | $125.89 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $87.10 | $102.33 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $33.88 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $58.88 | $69.18 | $102.33 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $173.78 | Facility | None | $95.50 | $134.90 | $173.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $147.91 Typical High $812.83 | Professional | None (both parts) | $102.33 | $147.91 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $93.33 Typical High $239.88 | Professional | 26 · Professional part | $33.11 | $93.33 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $181.97 Typical High $575.44 | Professional | TC · Technical part | $69.18 | $181.97 | $575.44 |
United Setting Facility Modifier None Typical Low $77.62 Median $281.84 Typical High $457.09 | Facility | None | $77.62 | $281.84 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $97.72 | $117.49 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $39.81 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $104.71 | Professional | TC · Technical part | $64.57 | $77.62 | $104.71 |
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 $47.86 Median $47.86 Typical High $63.10 | Professional | 52 · Reduced service | $47.86 | $47.86 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $25.12 | Professional | 53 · Discontinued | $19.05 | $19.50 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | FX · Film X-ray | $75.86 | $75.86 | $83.18 |
Where Oklahoma sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$117
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.