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 $85.11 Median $100.00 Typical High $154.88 | Facility | None | $85.11 | $100.00 | $154.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $39.81 | Facility | 26 · Professional part | $21.88 | $23.99 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $114.82 | Facility | TC · Technical part | $63.10 | $75.86 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $85.11 | $85.11 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $21.88 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $104.71 | Professional | TC · Technical part | $63.10 | $64.57 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $131.83 | Professional | None (both parts) | $67.61 | $83.18 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | 26 · Professional part | $20.42 | $20.42 | $25.70 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $354.81 | Facility | None | $181.97 | $257.04 | $354.81 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $27.54 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $27.54 | $107.15 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $123.03 Typical High $354.81 | Facility | None | $83.18 | $123.03 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $91.20 | $93.33 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $36.31 | Professional | 26 · Professional part | $23.99 | $23.99 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $107.15 | Professional | TC · Technical part | $66.07 | $69.18 | $107.15 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $295.12 | Facility | None | $89.13 | $141.25 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $724.44 | Professional | None (both parts) | $104.71 | $138.04 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $25.70 | $257.04 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $79.43 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $269.15 | Facility | None | $45.71 | $169.82 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $95.50 | $114.82 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $28.84 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $70.79 | $85.11 | $125.89 |
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 $42.66 Median $42.66 Typical High $54.95 | Professional | 52 · Reduced service | $42.66 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.38 Typical High $21.88 | Professional | 53 · Discontinued | $16.98 | $17.38 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $69.18 Typical High $81.28 | Professional | FX · Film X-ray | $67.61 | $69.18 | $81.28 |
Where Oklahoma sits
The same service costs 4.1 times more in Minnesota 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· 45th of 51
$107
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.