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 $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 $102.33 Median $102.33 Typical High $134.90 | Professional | None (both parts) | $102.33 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $42.66 | $42.66 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $81.28 | Professional | TC · Technical part | $60.26 | $60.26 | $81.28 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $363.08 | Facility | None | $190.55 | $251.19 | $363.08 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $54.95 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $54.95 | $128.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $1,096.48 | Facility | None | $346.74 | $645.65 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $275.42 | Professional | None (both parts) | $114.82 | $114.82 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $46.77 | $46.77 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $173.78 | Professional | TC · Technical part | $69.18 | $69.18 | $173.78 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $199.53 Typical High $954.99 | Facility | None | $109.65 | $199.53 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $380.19 Typical High $3,090.30 | Professional | None (both parts) | $128.82 | $380.19 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $309.03 Typical High $537.03 | Professional | 26 · Professional part | $51.29 | $309.03 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $616.60 Typical High $2,818.38 | Professional | TC · Technical part | $81.28 | $616.60 | $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 $147.91 Typical High $380.19 | Professional | None (both parts) | $120.23 | $147.91 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $46.77 | $54.95 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $323.59 | Professional | TC · Technical part | $72.44 | $91.20 | $323.59 |
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 $51.29 Median $51.29 Typical High $67.61 | Professional | 52 · Reduced service | $51.29 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $20.89 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | FX · Film X-ray | $81.28 | $81.28 | $93.33 |
Where Oklahoma sits
The same service costs 4.3 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
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.