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 $87.10 Typical High $107.15 | Facility | None | $81.28 | $87.10 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $79.43 | $81.28 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $12.30 | $12.30 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $93.33 | Professional | TC · Technical part | $67.61 | $67.61 | $93.33 |
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 $16.22 Median $95.50 Typical High $131.83 | Professional | None (both parts) | $16.22 | $95.50 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $165.96 Typical High $371.54 | Facility | None | $91.20 | $165.96 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $120.23 | Professional | None (both parts) | $70.79 | $85.11 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $21.38 | Professional | 26 · Professional part | $13.80 | $13.80 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $97.72 | Professional | TC · Technical part | $56.23 | $70.79 | $97.72 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $97.72 Typical High $302.00 | Facility | None | $83.18 | $97.72 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $691.83 | Professional | None (both parts) | $85.11 | $125.89 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $44.67 Typical High $151.36 | Professional | 26 · Professional part | $14.79 | $44.67 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $186.21 Typical High $588.84 | Professional | TC · Technical part | $69.18 | $186.21 | $588.84 |
United Setting Facility Modifier None Typical Low $104.71 Median $389.05 Typical High $616.60 | Facility | None | $104.71 | $389.05 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $79.43 | $93.33 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $21.88 | Professional | 26 · Professional part | $13.80 | $16.22 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $64.57 | $77.62 | $107.15 |
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 $40.74 Typical High $50.12 | Professional | 52 · Reduced service | $39.81 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.22 Typical High $19.95 | Professional | 53 · Discontinued | $15.85 | $16.22 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | FX · Film X-ray | $63.10 | $63.10 | $69.18 |
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· 43rd of 51
$95.50
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.