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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $104.71 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $52.48 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $53.70 | $72.44 |
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 $66.07 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $66.07 | $134.90 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $724.44 Typical High $1,819.70 | Facility | None | $302.00 | $724.44 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $275.42 | Professional | None (both parts) | $117.49 | $117.49 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $58.88 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $162.18 | Professional | TC · Technical part | $60.26 | $60.26 | $162.18 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $199.53 Typical High $2,951.21 | Facility | None | $109.65 | $199.53 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $380.19 Typical High $4,168.69 | Professional | None (both parts) | $131.83 | $380.19 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $316.23 Typical High $724.44 | Professional | 26 · Professional part | $63.10 | $316.23 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $602.56 Typical High $3,467.37 | Professional | TC · Technical part | $74.13 | $602.56 | $3,467.37 |
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 $125.89 Median $151.36 Typical High $380.19 | Professional | None (both parts) | $125.89 | $151.36 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $57.54 | $69.18 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $316.23 | Professional | TC · Technical part | $66.07 | $83.18 | $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 $52.48 Median $52.48 Typical High $67.61 | Professional | 52 · Reduced service | $52.48 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $26.92 | Professional | 53 · Discontinued | $20.89 | $20.89 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | FX · Film X-ray | $83.18 | $83.18 | $97.72 |
Where Oklahoma sits
The same service costs 4.7 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· 38th of 51
$170
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.