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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $79.43 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $22.91 | $22.91 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $57.54 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 26 · Professional part | $5.37 | $5.37 | $5.37 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $346.74 | Facility | None | $190.55 | $251.19 | $346.74 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $34.67 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $34.67 | $151.36 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $275.42 | Facility | None | $181.97 | $257.04 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $151.36 | Professional | None (both parts) | $83.18 | $83.18 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $23.99 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $58.88 | $107.15 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $190.55 Typical High $245.47 | Facility | None | $70.79 | $190.55 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $933.25 | Professional | None (both parts) | $117.49 | $186.21 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $371.54 | Professional | 26 · Professional part | $39.81 | $60.26 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $831.76 | Professional | TC · Technical part | $109.65 | $165.96 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $147.91 | $169.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $37.15 | $43.65 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $158.49 | Professional | TC · Technical part | $109.65 | $128.82 | $158.49 |
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 $39.81 Median $39.81 Typical High $56.23 | Professional | 52 · Reduced service | $39.81 | $39.81 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.22 Typical High $22.39 | Professional | 53 · Discontinued | $15.85 | $16.22 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $64.57 Typical High $77.62 | Professional | FX · Film X-ray | $63.10 | $64.57 | $77.62 |
Where Oklahoma sits
The same service costs 4.2 times more in Nebraska 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· 27th of 51
$170
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.