How much rates vary
Facilitymedian $18 · 10th to 90th $11 to $47Professionalmedian $12 · 10th to 90th $9 to $1,413
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 $2.69 Median $8.91 Typical High $8.91 | Facility | None | $2.69 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $8.71 Median $8.91 Typical High $10.47 | Professional | None (both parts) | $8.71 | $8.91 | $10.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $7.41 | Professional | 26 · Professional part | $6.17 | $6.17 | $7.41 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $2.69 Typical High $3.39 | Professional | TC · Technical part | $2.69 | $2.69 | $3.39 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $8.71 Median $9.33 Typical High $13.49 | Professional | None (both parts) | $8.71 | $9.33 | $13.49 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $14.13 Median $19.95 Typical High $27.54 | Facility | None | $14.13 | $19.95 | $27.54 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $9.33 Median $10.96 Typical High $14.79 | Professional | None (both parts) | $9.33 | $10.96 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $15.49 Typical High $15.49 | Facility | None | $13.80 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.77 Median $9.77 Typical High $15.49 | Professional | None (both parts) | $9.77 | $9.77 | $15.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $10.72 | Professional | 26 · Professional part | $6.76 | $6.76 | $10.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.02 Typical High $4.68 | Professional | TC · Technical part | $3.02 | $3.02 | $4.68 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $18.20 Typical High $295.12 | Facility | None | $9.33 | $18.20 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $10.96 Median $15.49 Typical High $1,412.54 | Professional | None (both parts) | $10.96 | $15.49 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $1,288.25 Typical High $1,288.25 | Professional | 26 · Professional part | $7.41 | $1,288.25 | $1,288.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $3.55 | $977.24 | $977.24 |
United Setting Facility Modifier None Typical Low $12.59 Median $46.77 Typical High $74.13 | Facility | None | $12.59 | $46.77 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $10.47 Median $12.88 Typical High $17.78 | Professional | None (both parts) | $10.47 | $12.88 | $17.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $12.30 | Professional | 26 · Professional part | $6.92 | $8.71 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.98 Typical High $5.50 | Professional | TC · Technical part | $3.31 | $3.98 | $5.50 |
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 $4.37 Median $4.47 Typical High $5.62 | Professional | 52 · Reduced service | $4.37 | $4.47 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.24 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.08 Median $7.08 Typical High $8.71 | Professional | FX · Film X-ray | $7.08 | $7.08 | $8.71 |
Where Oklahoma sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$12.30
AK $35.48FL $9.12
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.