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 $74.13 Median $100.00 Typical High $100.00 | Facility | None | $74.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $91.20 | Professional | None (both parts) | $74.13 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.79 Typical High $18.62 | Professional | 26 · Professional part | $14.45 | $14.79 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $60.26 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
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 $18.20 Median $57.54 Typical High $123.03 | Professional | None (both parts) | $18.20 | $57.54 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $194.98 Typical High $316.23 | Facility | None | $75.86 | $194.98 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $63.10 | $75.86 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $16.22 | $16.22 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $87.10 | Professional | TC · Technical part | $45.71 | $60.26 | $87.10 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $91.20 Typical High $389.05 | Facility | None | $77.62 | $91.20 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $630.96 | Professional | None (both parts) | $75.86 | $112.20 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $44.67 Typical High $131.83 | Professional | 26 · Professional part | $17.38 | $44.67 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $162.18 Typical High $524.81 | Professional | TC · Technical part | $57.54 | $162.18 | $524.81 |
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 $74.13 Median $87.10 Typical High $120.23 | Professional | None (both parts) | $74.13 | $87.10 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.62 Typical High $25.70 | Professional | 26 · Professional part | $16.22 | $18.62 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $54.95 | $66.07 | $95.50 |
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 $37.15 Median $37.15 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $14.79 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | FX · Film X-ray | $58.88 | $58.88 | $64.57 |
Where Oklahoma sits
The same service costs 4.0 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
$87.10
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.