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 $128.82 Median $199.53 Typical High $251.19 | Facility | None | $128.82 | $199.53 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $125.89 | $128.82 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | 26 · Professional part | $74.13 | $74.13 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $107.15 | Professional | TC · Technical part | $52.48 | $53.70 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
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 $91.20 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $91.20 | $162.18 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $724.44 Typical High $1,819.70 | Facility | None | $302.00 | $724.44 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $331.13 | Professional | None (both parts) | $141.25 | $141.25 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $81.28 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $199.53 | Professional | TC · Technical part | $58.88 | $58.88 | $199.53 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $251.19 Typical High $2,951.21 | Facility | None | $134.90 | $251.19 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $407.38 Typical High $3,162.28 | Professional | None (both parts) | $158.49 | $407.38 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $316.23 Typical High $676.08 | Professional | 26 · Professional part | $67.61 | $316.23 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $660.69 Typical High $2,818.38 | Professional | TC · Technical part | $72.44 | $660.69 | $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 $147.91 Median $177.83 Typical High $407.38 | Professional | None (both parts) | $147.91 | $177.83 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $91.20 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $346.74 | Professional | TC · Technical part | $64.57 | $81.28 | $346.74 |
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 $63.10 Median $64.57 Typical High $81.28 | Professional | 52 · Reduced service | $63.10 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.70 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $25.70 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | FX · Film X-ray | $102.33 | $102.33 | $114.82 |
Where Oklahoma sits
The same service costs 5.1 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· 44th of 51
$178
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.