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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $107.15 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $52.48 | $52.48 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $54.95 Typical High $74.13 | Professional | TC · Technical part | $53.70 | $54.95 | $74.13 |
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 $309.03 Median $645.65 Typical High $1,096.48 | Facility | None | $309.03 | $645.65 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $275.42 | Professional | None (both parts) | $120.23 | $120.23 | $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 $165.96 | Professional | TC · Technical part | $60.26 | $60.26 | $165.96 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $199.53 Typical High $954.99 | Facility | None | $112.20 | $199.53 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $389.05 Typical High $3,162.28 | Professional | None (both parts) | $134.90 | $389.05 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $316.23 Typical High $478.63 | Professional | 26 · Professional part | $63.10 | $316.23 | $478.63 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $602.56 Typical High $2,818.38 | Professional | TC · Technical part | $74.13 | $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 $125.89 Median $151.36 Typical High $389.05 | Professional | None (both parts) | $125.89 | $151.36 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $58.88 | $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 $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $52.48 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $21.38 | $21.38 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | FX · Film X-ray | $85.11 | $85.11 | $97.72 |
Where Oklahoma sits
The same service costs 4.5 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
$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.