How much rates vary
Facilitymedian $60 · 10th to 90th $22 to $347Professionalmedian $39 · 10th to 90th $19 to $741
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 $20.89 Median $22.39 Typical High $30.90 | Facility | None | $20.89 | $22.39 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.90 Typical High $44.67 | Professional | None (both parts) | $22.39 | $30.90 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $10.96 | $12.02 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $19.05 Typical High $28.84 | Professional | TC · Technical part | $10.47 | $19.05 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $16.98 | $16.98 | $23.99 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $102.33 | Facility | None | $51.29 | $72.44 | $102.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $15.14 Median $38.90 Typical High $53.70 | Professional | None (both parts) | $15.14 | $38.90 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $114.82 Typical High $323.59 | Facility | None | $27.54 | $114.82 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $36.31 Typical High $38.02 | Professional | None (both parts) | $16.22 | $36.31 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $13.49 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $13.49 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $23.44 Typical High $23.99 | Professional | TC · Technical part | $8.71 | $23.44 | $23.99 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $22.39 Typical High $389.05 | Facility | None | $21.88 | $22.39 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $21.38 Median $48.98 Typical High $741.31 | Professional | None (both parts) | $21.38 | $48.98 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $36.31 Typical High $95.50 | Professional | 26 · Professional part | $7.94 | $36.31 | $95.50 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $61.66 Typical High $724.44 | Professional | TC · Technical part | $13.49 | $61.66 | $724.44 |
United Setting Facility Modifier None Typical Low $239.88 Median $891.25 Typical High $1,412.54 | Facility | None | $239.88 | $891.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $38.90 Typical High $56.23 | Professional | None (both parts) | $20.89 | $38.90 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $7.59 | $14.45 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $24.55 Typical High $35.48 | Professional | TC · Technical part | $11.75 | $24.55 | $35.48 |
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 $15.49 Median $15.49 Typical High $19.95 | Professional | 52 · Reduced service | $15.49 | $15.49 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.31 Typical High $8.13 | Professional | 53 · Discontinued | $6.17 | $6.31 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | FX · Film X-ray | $24.55 | $24.55 | $28.18 |
Where Oklahoma sits
The same service costs 9.3 times more in Alaska than in New York. 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· 33rd of 51
$38.90
AK $123NY $13.18
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.