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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $75.86 Typical High $125.89 | Professional | None (both parts) | $74.13 | $75.86 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $30.20 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $44.67 | $44.67 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $346.74 | Facility | None | $131.83 | $204.17 | $346.74 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $37.15 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $37.15 | $97.72 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $169.82 | Facility | None | $112.20 | $158.49 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $81.28 | $81.28 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $35.48 | Professional | 26 · Professional part | $30.20 | $33.88 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $66.07 | Professional | TC · Technical part | $46.77 | $46.77 | $66.07 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $131.83 Typical High $158.49 | Facility | None | $77.62 | $131.83 | $158.49 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $758.58 | Professional | None (both parts) | $87.10 | $123.03 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $48.98 Typical High $269.15 | Professional | 26 · Professional part | $30.20 | $48.98 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $97.72 Typical High $501.19 | Professional | TC · Technical part | $54.95 | $97.72 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $120.23 | Professional | None (both parts) | $81.28 | $95.50 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $41.69 | Professional | 26 · Professional part | $28.84 | $33.88 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $79.43 | Professional | TC · Technical part | $52.48 | $61.66 | $79.43 |
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 $37.15 Median $38.02 Typical High $48.98 | Professional | 52 · Reduced service | $37.15 | $38.02 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.14 Typical High $19.50 | Professional | 53 · Discontinued | $14.79 | $15.14 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | FX · Film X-ray | $60.26 | $60.26 | $70.79 |
Where Oklahoma sits
The same service costs 4.5 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· 45th of 51
$95.50
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.