How much rates vary
Facilitymedian $245 · 10th to 90th $166 to $2,344Professionalmedian $141 · 10th to 90th $81 to $3,162
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $131.83 | Professional | None (both parts) | $100.00 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $47.86 | $48.98 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $52.48 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
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 $64.57 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $64.57 | $128.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $724.44 Typical High $1,819.70 | Facility | None | $295.12 | $724.44 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $263.03 | Professional | None (both parts) | $112.20 | $112.20 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $53.70 | $53.70 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $57.54 | $162.18 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $190.55 Typical High $2,951.21 | Facility | None | $107.15 | $190.55 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $380.19 Typical High $3,162.28 | Professional | None (both parts) | $125.89 | $380.19 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $316.23 Typical High $630.96 | Professional | 26 · Professional part | $57.54 | $316.23 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $602.56 Typical High $2,818.38 | Professional | TC · Technical part | $72.44 | $602.56 | $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 $120.23 Median $144.54 Typical High $380.19 | Professional | None (both parts) | $120.23 | $144.54 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $63.10 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $316.23 | Professional | TC · Technical part | $64.57 | $81.28 | $316.23 |
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 $50.12 Median $51.29 Typical High $64.57 | Professional | 52 · Reduced service | $50.12 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $26.30 | Professional | 53 · Discontinued | $19.95 | $20.42 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | FX · Film X-ray | $79.43 | $79.43 | $91.20 |
Where Oklahoma sits
The same service costs 5.4 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· 38th of 51
$162
AK $407UT $75.86
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.