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 $30.90 Median $69.18 Typical High $69.18 | Facility | None | $30.90 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $67.61 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $44.67 | Professional | 26 · Professional part | $37.15 | $38.02 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | TC · Technical part | $30.90 | $30.90 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $380.19 | Facility | None | $204.17 | $269.15 | $380.19 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $46.77 Median $87.10 Typical High $117.49 | Professional | None (both parts) | $46.77 | $87.10 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $338.84 Typical High $363.08 | Facility | None | $147.91 | $338.84 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $117.49 | Professional | None (both parts) | $74.13 | $74.13 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $41.69 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | TC · Technical part | $33.11 | $33.11 | $52.48 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $114.82 Typical High $295.12 | Facility | None | $72.44 | $114.82 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $1,288.25 | Professional | None (both parts) | $83.18 | $120.23 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $45.71 | $501.19 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $38.90 | $794.33 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $75.86 | $93.33 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $50.12 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $64.57 | Professional | TC · Technical part | $34.67 | $42.66 | $64.57 |
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 $33.88 Median $34.67 Typical High $43.65 | Professional | 52 · Reduced service | $33.88 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.80 Typical High $17.38 | Professional | 53 · Discontinued | $13.49 | $13.80 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | FX · Film X-ray | $54.95 | $54.95 | $66.07 |
Where Oklahoma sits
The same service costs 4.2 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· 41st of 51
$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.