How much rates vary
Facilitymedian $251 · 10th to 90th $148 to $295Professionalmedian $186 · 10th to 90th $105 to $1,230
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $147.91 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $67.61 | $69.18 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $81.28 Typical High $109.65 | Professional | TC · Technical part | $79.43 | $81.28 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | None (both parts) | $302.00 | $302.00 | $309.03 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $85.11 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $85.11 | $186.21 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $60.26 | Facility | None | $58.88 | $58.88 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $162.18 | $162.18 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $75.86 | $75.86 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $85.11 | $87.10 | $134.90 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $295.12 | Facility | None | $154.88 | $251.19 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $1,230.27 | Professional | None (both parts) | $181.97 | $245.47 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $81.28 | $575.44 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $100.00 | $707.95 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $162.18 | $204.17 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $74.13 | $91.20 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $112.20 | $162.18 |
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 $74.13 Median $75.86 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $38.02 | Professional | 53 · Discontinued | $29.51 | $30.20 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $120.23 Typical High $144.54 | Professional | FX · Film X-ray | $117.49 | $120.23 | $144.54 |
Where Oklahoma sits
The same service costs 5.8 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· 38th of 51
$191
AK $589UT $102
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.