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 $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
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 $23.44 Median $23.99 Typical High $30.90 | Professional | 26 · Professional part | $23.44 | $23.99 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $70.79 | Professional | TC · Technical part | $52.48 | $53.70 | $70.79 |
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 $29.51 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $29.51 | $91.20 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $123.03 Typical High $295.12 | Facility | None | $81.28 | $123.03 | $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 $26.30 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $26.30 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $89.13 | Professional | TC · Technical part | $57.54 | $57.54 | $89.13 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $295.12 | Facility | None | $77.62 | $123.03 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $645.65 | Professional | None (both parts) | $95.50 | $125.89 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $28.84 | $229.09 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $67.61 | $467.74 | $467.74 |
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 $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 $25.70 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $31.62 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $75.86 | $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 $38.02 Median $38.90 Typical High $48.98 | Professional | 52 · Reduced service | $38.02 | $38.90 | $48.98 |
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 $61.66 Typical High $74.13 | Professional | FX · Film X-ray | $61.66 | $61.66 | $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· 35th of 51
$107
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.