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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $104.71 | Professional | None (both parts) | $77.62 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | 26 · Professional part | $20.89 | $20.89 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $77.62 | Professional | TC · Technical part | $56.23 | $57.54 | $77.62 |
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 $28.18 Median $123.03 Typical High $169.82 | Professional | None (both parts) | $28.18 | $123.03 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $229.09 | Facility | None | $151.36 | $213.80 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | None (both parts) | $85.11 | $85.11 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $21.88 | $22.91 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $63.10 | $63.10 | $83.18 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $120.23 Typical High $165.96 | Facility | None | $69.18 | $120.23 | $165.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $724.44 | Professional | None (both parts) | $100.00 | $141.25 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $37.15 Typical High $199.53 | Professional | 26 · Professional part | $23.44 | $37.15 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $588.84 | Professional | TC · Technical part | $91.20 | $134.90 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $165.96 | Professional | None (both parts) | $114.82 | $131.83 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $22.39 | $26.30 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $91.20 | $107.15 | $131.83 |
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 $38.90 Median $38.90 Typical High $52.48 | Professional | 52 · Reduced service | $38.90 | $38.90 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.85 Typical High $20.89 | Professional | 53 · Discontinued | $15.49 | $15.85 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $63.10 Typical High $74.13 | Professional | FX · Film X-ray | $61.66 | $63.10 | $74.13 |
Where Oklahoma sits
The same service costs 4.0 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· 27th of 51
$132
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.