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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $123.03 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $46.77 | $46.77 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $104.71 | Professional | TC · Technical part | $75.86 | $75.86 | $104.71 |
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 $66.07 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $66.07 | $138.04 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,096.48 | Facility | None | $407.38 | $645.65 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $138.04 | $138.04 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $52.48 | $52.48 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $87.10 | $177.83 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $707.95 | Facility | None | $128.82 | $181.97 | $707.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $371.54 Typical High $3,090.30 | Professional | None (both parts) | $147.91 | $371.54 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $309.03 Typical High $489.78 | Professional | 26 · Professional part | $54.95 | $309.03 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $602.56 Typical High $2,818.38 | Professional | TC · Technical part | $102.33 | $602.56 | $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 $147.91 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $147.91 | $186.21 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $61.66 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $316.23 | Professional | TC · Technical part | $97.72 | $117.49 | $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 $61.66 Median $61.66 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $24.55 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | FX · Film X-ray | $97.72 | $97.72 | $114.82 |
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· 42nd of 51
$186
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.