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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $34.67 Typical High $46.77 | Professional | None (both parts) | $33.88 | $34.67 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $10.47 | $10.47 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.99 Typical High $29.51 | Professional | TC · Technical part | $23.44 | $23.99 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $102.33 | Facility | None | $51.29 | $72.44 | $102.33 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $14.13 Median $41.69 Typical High $57.54 | Professional | None (both parts) | $14.13 | $41.69 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $134.90 Typical High $134.90 | Facility | None | $41.69 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.02 Typical High $54.95 | Professional | None (both parts) | $31.62 | $38.02 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $11.75 | $11.75 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.92 Typical High $36.31 | Professional | TC · Technical part | $18.62 | $26.92 | $36.31 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $45.71 Typical High $109.65 | Facility | None | $35.48 | $45.71 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $288.40 | Professional | None (both parts) | $38.02 | $53.70 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $31.62 Typical High $83.18 | Professional | 26 · Professional part | $12.59 | $31.62 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $58.88 Typical High $208.93 | Professional | TC · Technical part | $24.55 | $58.88 | $208.93 |
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 $35.48 Median $42.66 Typical High $58.88 | Professional | None (both parts) | $35.48 | $42.66 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $18.62 | Professional | 26 · Professional part | $11.75 | $13.49 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $22.91 | $28.84 | $39.81 |
2 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 $16.98 Median $17.38 Typical High $21.38 | Professional | 52 · Reduced service | $16.98 | $17.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | FX · Film X-ray | $27.54 | $27.54 | $30.20 |
Where Oklahoma sits
The same service costs 4.0 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· 44th of 51
$42.66
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.