How much rates vary
Facilitymedian $245 · 10th to 90th $115 to $490Professionalmedian $132 · 10th to 90th $58 to $933
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 $109.65 Median $120.23 Typical High $186.21 | Facility | None | $109.65 | $120.23 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $34.67 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | TC · Technical part | $75.86 | $75.86 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
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 $42.66 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $42.66 | $131.83 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $407.38 | Facility | None | $93.33 | $144.54 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $100.00 | $114.82 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $31.62 | $38.02 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $70.79 | $77.62 | $120.23 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $199.53 | Facility | None | $109.65 | $151.36 | $199.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $933.25 | Professional | None (both parts) | $117.49 | $169.82 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $104.71 Typical High $269.15 | Professional | 26 · Professional part | $33.88 | $104.71 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $213.80 Typical High $660.69 | Professional | TC · Technical part | $81.28 | $213.80 | $660.69 |
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 $112.20 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $112.20 | $131.83 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $42.66 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $89.13 | $123.03 |
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 $54.95 Median $54.95 Typical High $70.79 | Professional | 52 · Reduced service | $54.95 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $21.88 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | FX · Film X-ray | $87.10 | $87.10 | $95.50 |
Where Oklahoma sits
The same service costs 3.9 times more in Alaska 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· 42nd of 51
$132
AK $407UT $105
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.