How much rates vary
Facilitymedian $60 · 10th to 90th $60 to $83Professionalmedian $120 · 10th to 90th $89 to $155
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 $125.89 Median $125.89 Typical High $147.91 | Facility | None | $125.89 | $125.89 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $85.11 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $52.48 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
BCBS Arkansas Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $83.18 | Facility | None | $60.26 | $60.26 | $83.18 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $120.23 | $120.23 | $154.88 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $43.65 | $56.23 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | TC · Technical part | $75.86 | $75.86 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $79.43 | $109.65 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $37.15 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $46.77 | $72.44 | $112.20 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $85.11 | $100.00 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $35.48 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $52.48 | $66.07 | $104.71 |
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 $42.66 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $42.66 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $16.98 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $77.62 Typical High $117.49 | Professional | FX · Film X-ray | $66.07 | $77.62 | $117.49 |
Where Arkansas sits
The same service costs 4.5 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.
Arkansas· 24th of 51
$120
AK $295TX $66.07
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.