How much rates vary
Facilitymedian $200 · 10th to 90th $95 to $355Professionalmedian $112 · 10th to 90th $48 to $209
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 $91.20 Median $154.88 Typical High $165.96 | Facility | None | $91.20 | $154.88 | $165.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $54.95 Typical High $58.88 | Facility | 26 · Professional part | $30.90 | $54.95 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $107.15 | Facility | TC · Technical part | $60.26 | $100.00 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $123.03 | Professional | None (both parts) | $89.13 | $91.20 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $30.90 | $30.90 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $81.28 | Professional | TC · Technical part | $58.88 | $60.26 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $165.96 | Professional | None (both parts) | $77.62 | $77.62 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $28.84 | $28.84 | $36.31 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $354.81 | Facility | None | $190.55 | $257.04 | $354.81 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $38.90 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $38.90 | $112.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $169.82 Typical High $331.13 | Facility | None | $93.33 | $169.82 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $97.72 | $97.72 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $33.88 | $33.88 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $64.57 | $100.00 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $416.87 | Facility | None | $95.50 | $165.96 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $758.58 | Professional | None (both parts) | $112.20 | $151.36 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $38.02 | $302.00 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $75.86 | $512.86 | $512.86 |
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 $100.00 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $100.00 | $125.89 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $41.69 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $66.07 | $83.18 | $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 $44.67 Median $45.71 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.20 Typical High $22.91 | Professional | 53 · Discontinued | $17.78 | $18.20 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $87.10 | Professional | FX · Film X-ray | $72.44 | $72.44 | $87.10 |
Where Oklahoma sits
The same service costs 3.8 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· 47th of 51
$115
AK $355TX $93.33
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.