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 $117.49 Median $181.97 Typical High $218.78 | Facility | None | $117.49 | $181.97 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $117.49 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $66.07 | $66.07 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $100.00 | Professional | TC · Technical part | $51.29 | $52.48 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
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 $81.28 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $81.28 | $147.91 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $724.44 Typical High $1,819.70 | Facility | None | $288.40 | $724.44 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $128.82 | $128.82 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $72.44 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $181.97 | Professional | TC · Technical part | $56.23 | $56.23 | $181.97 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $208.93 Typical High $2,951.21 | Facility | None | $123.03 | $208.93 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $389.05 Typical High $3,090.30 | Professional | None (both parts) | $144.54 | $389.05 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $309.03 Typical High $549.54 | Professional | 26 · Professional part | $58.88 | $309.03 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $630.96 Typical High $2,818.38 | Professional | TC · Technical part | $70.79 | $630.96 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $5,128.61 Typical High $8,128.31 | Facility | None | $1,380.38 | $5,128.61 | $8,128.31 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $138.04 | $165.96 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $83.18 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $331.13 | Professional | TC · Technical part | $63.10 | $79.43 | $331.13 |
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 $58.88 Median $58.88 Typical High $75.86 | Professional | 52 · Reduced service | $58.88 | $58.88 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | 53 · Discontinued | $23.44 | $23.44 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | FX · Film X-ray | $93.33 | $93.33 | $104.71 |
Where Oklahoma sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 44th of 51
$166
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.