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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $53.70 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $22.39 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $32.36 | $32.36 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | None (both parts) | $107.15 | $107.15 | $112.20 |
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 $27.54 Median $69.18 Typical High $93.33 | Professional | None (both parts) | $27.54 | $69.18 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $151.36 Typical High $177.83 | Facility | None | $60.26 | $151.36 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $56.23 | $58.88 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $24.55 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $34.67 Typical High $53.70 | Professional | TC · Technical part | $33.88 | $34.67 | $53.70 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $70.79 Typical High $295.12 | Facility | None | $53.70 | $70.79 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $537.03 | Professional | None (both parts) | $67.61 | $93.33 | $537.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $26.30 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $39.81 | $389.05 | $389.05 |
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 $60.26 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $60.26 | $74.13 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $29.51 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $36.31 | $45.71 | $67.61 |
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 $26.92 Median $27.54 Typical High $33.88 | Professional | 52 · Reduced service | $26.92 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.96 Typical High $13.80 | Professional | 53 · Discontinued | $10.72 | $10.96 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | FX · Film X-ray | $43.65 | $43.65 | $52.48 |
Where Oklahoma sits
The same service costs 4.4 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· 35th of 51
$74.13
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.