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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $63.10 Typical High $83.18 | Professional | None (both parts) | $61.66 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.62 Typical High $23.44 | Professional | 26 · Professional part | $18.20 | $18.62 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $44.67 Typical High $60.26 | Professional | TC · Technical part | $43.65 | $44.67 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $177.83 Median $251.19 Typical High $346.74 | Facility | None | $177.83 | $251.19 | $346.74 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $23.44 Median $83.18 Typical High $112.20 | Professional | None (both parts) | $23.44 | $83.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $70.79 Typical High $251.19 | Facility | None | $58.88 | $70.79 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $107.15 | Professional | None (both parts) | $69.18 | $69.18 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $20.42 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $75.86 | Professional | TC · Technical part | $47.86 | $47.86 | $75.86 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $120.23 Typical High $134.90 | Facility | None | $64.57 | $120.23 | $134.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $758.58 | Professional | None (both parts) | $75.86 | $107.15 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $21.88 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $173.78 Typical High $1,047.13 | Professional | TC · Technical part | $54.95 | $173.78 | $1,047.13 |
United Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $269.15 | Facility | None | $45.71 | $169.82 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $120.23 | Professional | None (both parts) | $74.13 | $89.13 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $31.62 | Professional | 26 · Professional part | $19.95 | $22.91 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $54.95 | $64.57 | $89.13 |
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 $30.90 Median $31.62 Typical High $41.69 | Professional | 52 · Reduced service | $30.90 | $31.62 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.59 Typical High $16.60 | Professional | 53 · Discontinued | $12.30 | $12.59 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $56.23 | Professional | FX · Film X-ray | $50.12 | $50.12 | $56.23 |
Where Oklahoma sits
The same service costs 3.8 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· 37th of 51
$87.10
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.