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 $63.10 Median $107.15 Typical High $114.82 | Facility | None | $63.10 | $107.15 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $63.10 Typical High $97.72 | Professional | None (both parts) | $61.66 | $63.10 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $24.55 | $25.12 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.02 Typical High $58.88 | Professional | TC · Technical part | $37.15 | $38.02 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $63.10 Typical High $89.13 | Professional | None (both parts) | $60.26 | $63.10 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $29.51 | Professional | 26 · Professional part | $23.44 | $23.44 | $29.51 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $380.19 | Facility | None | $190.55 | $269.15 | $380.19 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $30.90 Median $79.43 Typical High $107.15 | Professional | None (both parts) | $30.90 | $79.43 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $123.03 Typical High $213.80 | Facility | None | $60.26 | $123.03 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $107.15 | Professional | None (both parts) | $69.18 | $69.18 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $27.54 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $64.57 | Professional | TC · Technical part | $41.69 | $41.69 | $64.57 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $295.12 | Facility | None | $66.07 | $107.15 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $524.81 | Professional | None (both parts) | $77.62 | $109.65 | $524.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $30.20 | $194.98 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $46.77 | $331.13 | $331.13 |
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 $69.18 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $69.18 | $85.11 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $33.11 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $77.62 | Professional | TC · Technical part | $41.69 | $52.48 | $77.62 |
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 $30.90 Median $31.62 Typical High $39.81 | Professional | 52 · Reduced service | $30.90 | $31.62 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $15.85 | Professional | 53 · Discontinued | $12.59 | $12.59 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | FX · Film X-ray | $50.12 | $50.12 | $60.26 |
Where Oklahoma sits
The same service costs 3.6 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
$79.43
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.