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 $112.20 Median $162.18 Typical High $162.18 | Facility | None | $112.20 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $112.20 | $112.20 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $46.77 | $46.77 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $66.07 | $100.00 |
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 $56.23 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $56.23 | $134.90 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $467.74 | Facility | None | $91.20 | $123.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $181.97 | Professional | None (both parts) | $109.65 | $154.88 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $50.12 | $54.95 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $102.33 | Professional | TC · Technical part | $61.66 | $97.72 | $102.33 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $295.12 | Facility | None | $112.20 | $154.88 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $933.25 | Professional | None (both parts) | $131.83 | $186.21 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $53.70 | $363.08 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $74.13 | $575.44 | $575.44 |
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 $117.49 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $117.49 | $138.04 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $58.88 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $79.43 | $128.82 |
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 $56.23 Median $56.23 Typical High $75.86 | Professional | 52 · Reduced service | $56.23 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | 53 · Discontinued | $22.39 | $22.39 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $91.20 Typical High $120.23 | Professional | FX · Film X-ray | $89.13 | $91.20 | $120.23 |
Where Oklahoma sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 34th of 51
$155
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.