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 $85.11 Median $154.88 Typical High $154.88 | Facility | None | $85.11 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $138.04 | Professional | None (both parts) | $85.11 | $85.11 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | 26 · Professional part | $39.81 | $39.81 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $44.67 | $45.71 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
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 $50.12 Median $109.65 Typical High $151.36 | Professional | None (both parts) | $50.12 | $109.65 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $251.19 Typical High $645.65 | Facility | None | $58.88 | $251.19 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $91.20 | $91.20 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $43.65 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $89.13 | Professional | TC · Technical part | $47.86 | $47.86 | $89.13 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $954.99 | Facility | None | $89.13 | $147.91 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $794.33 | Professional | None (both parts) | $95.50 | $138.04 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $83.18 Typical High $309.03 | Professional | 26 · Professional part | $31.62 | $83.18 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $186.21 Typical High $524.81 | Professional | TC · Technical part | $67.61 | $186.21 | $524.81 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,570.40 Typical High $4,073.80 | Facility | None | $691.83 | $2,570.40 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $89.13 | $107.15 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $30.20 | $34.67 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $97.72 | Professional | TC · Technical part | $58.88 | $70.79 | $97.72 |
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 $42.66 Median $42.66 Typical High $54.95 | Professional | 52 · Reduced service | $42.66 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $21.88 | Professional | 53 · Discontinued | $16.98 | $16.98 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $75.86 | Professional | FX · Film X-ray | $67.61 | $67.61 | $75.86 |
Where Oklahoma sits
The same service costs 4.2 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
$110
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.