How much rates vary
Facilitymedian $214 · 10th to 90th $115 to $363Professionalmedian $105 · 10th to 90th $58 to $617
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 $47.86 Median $75.86 Typical High $75.86 | Facility | None | $47.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $75.86 Typical High $114.82 | Professional | None (both parts) | $74.13 | $75.86 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $25.70 | $37.15 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.90 Typical High $85.11 | Professional | TC · Technical part | $38.02 | $38.90 | $85.11 |
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 $45.71 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $45.71 | $97.72 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,096.48 | Facility | None | $724.44 | $1,023.29 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $181.97 | Professional | None (both parts) | $83.18 | $83.18 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $16.98 | $40.74 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $144.54 | Professional | TC · Technical part | $41.69 | $41.69 | $144.54 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $117.49 Typical High $331.13 | Facility | None | $79.43 | $117.49 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $323.59 Typical High $2,884.03 | Professional | None (both parts) | $93.33 | $323.59 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $281.84 Typical High $426.58 | Professional | 26 · Professional part | $17.78 | $281.84 | $426.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $588.84 Typical High $2,818.38 | Professional | TC · Technical part | $53.70 | $588.84 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $323.59 | Professional | None (both parts) | $87.10 | $109.65 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $17.78 | $44.67 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $309.03 | Professional | TC · Technical part | $47.86 | $60.26 | $309.03 |
4 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 $38.02 Typical High $48.98 | Professional | 52 · Reduced service | $37.15 | $38.02 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $19.50 | Professional | 53 · Discontinued | $15.14 | $15.14 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | FX · Film X-ray | $60.26 | $60.26 | $67.61 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | XU · Unusual separate service | $89.13 | $89.13 | $89.13 |
Where Oklahoma sits
The same service costs 4.0 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· 42nd of 51
$105
AK $295TX $74.13
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.