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 $91.20 Median $154.88 Typical High $162.18 | Facility | None | $91.20 | $154.88 | $162.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $46.77 Typical High $50.12 | Facility | 26 · Professional part | $26.30 | $46.77 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $114.82 | Facility | TC · Technical part | $64.57 | $104.71 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $91.20 | $93.33 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $26.30 | $26.92 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $64.57 | $66.07 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $87.10 Typical High $151.36 | Professional | None (both parts) | $85.11 | $87.10 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $25.12 | $25.12 | $30.90 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $354.81 | Facility | None | $190.55 | $257.04 | $354.81 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $33.11 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $33.11 | $114.82 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $363.08 | Facility | None | $87.10 | $138.04 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $97.72 | $100.00 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $29.51 | $29.51 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $107.15 | Professional | TC · Technical part | $67.61 | $70.79 | $107.15 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $446.68 | Facility | None | $89.13 | $125.89 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $776.25 | Professional | None (both parts) | $104.71 | $147.91 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $31.62 | $288.40 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $79.43 | $575.44 | $575.44 |
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 $100.00 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $100.00 | $125.89 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $28.84 | $35.48 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $89.13 | $131.83 |
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 $45.71 Median $45.71 Typical High $58.88 | Professional | 52 · Reduced service | $45.71 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $23.44 | Professional | 53 · Discontinued | $18.20 | $18.62 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $74.13 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $74.13 | $89.13 |
Where Oklahoma sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 43rd of 51
$115
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.