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 $31.62 Median $51.29 Typical High $51.29 | Facility | None | $31.62 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $42.66 | Professional | None (both parts) | $30.90 | $30.90 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $12.02 | $12.02 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | TC · Technical part | $19.05 | $19.05 | $25.70 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $177.83 Median $251.19 Typical High $346.74 | Facility | None | $177.83 | $251.19 | $346.74 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $14.79 Median $34.67 Typical High $52.48 | Professional | None (both parts) | $14.79 | $34.67 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $109.65 Typical High $158.49 | Facility | None | $60.26 | $109.65 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $67.61 | Professional | None (both parts) | $35.48 | $35.48 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $20.89 | Professional | 26 · Professional part | $13.49 | $13.49 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.88 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $21.88 | $47.86 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $47.86 Typical High $302.00 | Facility | None | $33.11 | $47.86 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $72.44 Typical High $389.05 | Professional | None (both parts) | $36.31 | $72.44 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $38.02 Typical High $102.33 | Professional | 26 · Professional part | $14.45 | $38.02 | $102.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $125.89 Typical High $302.00 | Professional | TC · Technical part | $21.38 | $125.89 | $302.00 |
United Setting Facility Modifier None Typical Low $154.88 Median $562.34 Typical High $912.01 | Facility | None | $154.88 | $562.34 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $32.36 | $40.74 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $15.49 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $57.54 | Professional | TC · Technical part | $19.50 | $23.99 | $57.54 |
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 $15.49 Median $15.49 Typical High $20.42 | Professional | 52 · Reduced service | $15.49 | $15.49 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.31 Typical High $8.13 | Professional | 53 · Discontinued | $6.17 | $6.31 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $27.54 | Professional | FX · Film X-ray | $24.55 | $24.55 | $27.54 |
Where Oklahoma sits
The same service costs 3.8 times more in Alaska than in New York. 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· 45th of 51
$44.67
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.