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 $89.13 Median $128.82 Typical High $128.82 | Facility | None | $89.13 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $87.10 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $28.18 | $28.84 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $83.18 | Professional | TC · Technical part | $58.88 | $60.26 | $83.18 |
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 $37.15 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $37.15 | $131.83 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $131.83 Typical High $426.58 | Facility | None | $87.10 | $131.83 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $112.20 | $114.82 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $31.62 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $77.62 | $83.18 | $128.82 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $173.78 Typical High $295.12 | Facility | None | $87.10 | $173.78 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $741.31 | Professional | None (both parts) | $123.03 | $169.82 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $33.88 | $263.03 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $95.50 | $512.86 | $512.86 |
United Setting Facility Modifier None Typical Low $38.02 Median $141.25 Typical High $223.87 | Facility | None | $38.02 | $141.25 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $117.49 | $141.25 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $38.02 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $87.10 | $102.33 | $154.88 |
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 $43.65 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $43.65 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $23.44 | Professional | 53 · Discontinued | $17.38 | $17.78 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $70.79 Typical High $91.20 | Professional | FX · Film X-ray | $69.18 | $70.79 | $91.20 |
Where Oklahoma sits
The same service costs 3.7 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· 33rd of 51
$138
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.