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 $77.62 Median $85.11 Typical High $120.23 | Facility | None | $77.62 | $85.11 | $120.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $42.66 Typical High $45.71 | Facility | 26 · Professional part | $24.55 | $42.66 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $93.33 | Facility | TC · Technical part | $42.66 | $52.48 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $77.62 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $33.88 | Professional | 26 · Professional part | $24.55 | $24.55 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $53.70 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $112.20 | $112.20 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $22.91 | $22.91 | $28.84 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $354.81 | Facility | None | $181.97 | $257.04 | $354.81 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $30.20 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $30.20 | $97.72 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $131.83 Typical High $295.12 | Facility | None | $87.10 | $131.83 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $85.11 | $85.11 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $26.92 | $26.92 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $87.10 | Professional | TC · Technical part | $57.54 | $57.54 | $87.10 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $144.54 Typical High $323.59 | Facility | None | $81.28 | $144.54 | $323.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $660.69 | Professional | None (both parts) | $89.13 | $128.82 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $29.51 | $218.78 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $63.10 | $457.09 | $457.09 |
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 $85.11 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $85.11 | $107.15 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $32.36 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $107.15 | Professional | TC · Technical part | $57.54 | $74.13 | $107.15 |
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 $38.90 Median $38.90 Typical High $50.12 | Professional | 52 · Reduced service | $38.90 | $38.90 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $19.95 | Professional | 53 · Discontinued | $15.49 | $15.49 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $63.10 Typical High $74.13 | Professional | FX · Film X-ray | $61.66 | $63.10 | $74.13 |
Where Oklahoma sits
The same service costs 4.2 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· 45th of 51
$97.72
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.