How much rates vary
Facilitymedian $63 · 10th to 90th $30 to $110Professionalmedian $35 · 10th to 90th $18 to $288
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 $30.20 Median $42.66 Typical High $56.23 | Facility | None | $30.20 | $42.66 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.20 Typical High $43.65 | Professional | None (both parts) | $29.51 | $30.20 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $10.72 | $10.96 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | TC · Technical part | $19.05 | $19.05 | $25.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | None (both parts) | $29.51 | $29.51 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $15.49 | Professional | 26 · Professional part | $9.55 | $10.47 | $15.49 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $40.74 Median $72.44 Typical High $109.65 | Facility | None | $40.74 | $72.44 | $109.65 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $13.80 Median $35.48 Typical High $48.98 | Professional | None (both parts) | $13.80 | $35.48 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $28.18 | $33.11 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $12.02 | $12.02 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.89 Typical High $24.55 | Professional | TC · Technical part | $15.14 | $20.89 | $24.55 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $42.66 Typical High $87.10 | Facility | None | $30.20 | $42.66 | $87.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $45.71 Typical High $288.40 | Professional | None (both parts) | $33.11 | $45.71 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $13.18 | $204.17 | $204.17 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $19.05 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $56.23 | Professional | None (both parts) | $29.51 | $37.15 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $12.02 | $14.79 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $33.11 | Professional | TC · Technical part | $16.98 | $22.39 | $33.11 |
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 $14.79 Median $15.14 Typical High $19.05 | Professional | 52 · Reduced service | $14.79 | $15.14 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $7.76 | Professional | 53 · Discontinued | $6.03 | $6.03 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | FX · Film X-ray | $23.99 | $23.99 | $28.84 |
Where Oklahoma sits
The same service costs 4.1 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· 41st of 51
$37.15
AK $117FL $28.84
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.