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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $91.20 | $93.33 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $42.66 | $42.66 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $83.18 | Professional | TC · Technical part | $50.12 | $50.12 | $83.18 |
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 $56.23 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $56.23 | $117.49 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $1,096.48 | Facility | None | $275.42 | $645.65 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $245.47 | Professional | None (both parts) | $100.00 | $100.00 | $245.47 |
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 $53.70 Median $53.70 Typical High $162.18 | Professional | TC · Technical part | $53.70 | $53.70 | $162.18 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $954.99 | Facility | None | $97.72 | $177.83 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $363.08 Typical High $3,388.44 | Professional | None (both parts) | $114.82 | $363.08 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $309.03 Typical High $630.96 | Professional | 26 · Professional part | $51.29 | $309.03 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $588.84 Typical High $2,884.03 | Professional | TC · Technical part | $69.18 | $588.84 | $2,884.03 |
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 $109.65 Median $131.83 Typical High $363.08 | Professional | None (both parts) | $109.65 | $131.83 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $53.70 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $316.23 | Professional | TC · Technical part | $60.26 | $75.86 | $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 $45.71 Median $46.77 Typical High $60.26 | Professional | 52 · Reduced service | $45.71 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $23.99 | Professional | 53 · Discontinued | $18.20 | $18.62 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | FX · Film X-ray | $74.13 | $74.13 | $83.18 |
Where Oklahoma sits
The same service costs 4.8 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
$148
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.