How much rates vary
Facilitymedian $257 · 10th to 90th $191 to $776Professionalmedian $257 · 10th to 90th $107 to $1,698
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $199.53 | $204.17 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $63.10 | $64.57 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | TC · Technical part | $138.04 | $138.04 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
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 $79.43 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $79.43 | $257.04 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $562.34 Typical High $776.25 | Facility | None | $158.49 | $562.34 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $173.78 | $218.78 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $70.79 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $147.91 | $199.53 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $257.04 Typical High $371.54 | Facility | None | $208.93 | $257.04 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $1,698.24 | Professional | None (both parts) | $213.80 | $323.59 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $75.86 | $501.19 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $131.83 | $1,202.26 | $1,202.26 |
United Setting Facility Modifier None Typical Low $239.88 Median $891.25 Typical High $1,412.54 | Facility | None | $239.88 | $891.25 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $213.80 | $257.04 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $83.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $181.97 | $275.42 |
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 $100.00 Median $102.33 Typical High $128.82 | Professional | 52 · Reduced service | $100.00 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $40.74 Typical High $51.29 | Professional | 53 · Discontinued | $39.81 | $40.74 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | FX · Film X-ray | $162.18 | $162.18 | $194.98 |
Where Oklahoma sits
The same service costs 5.0 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· 39th of 51
$257
AK $794UT $158
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.