How much rates vary
Facilitymedian $158 · 10th to 90th $37 to $309Professionalmedian $58 · 10th to 90th $30 to $71
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 $44.67 Median $77.62 Typical High $81.28 | Facility | None | $44.67 | $77.62 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $64.57 Typical High $70.79 | Professional | None (both parts) | $30.90 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $18.62 Typical High $20.89 | Professional | 26 · Professional part | $8.51 | $18.62 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $21.88 | $46.77 | $53.70 |
BCBS Idaho Setting Facility Modifier None Typical Low $45.71 Median $204.17 Typical High $309.03 | Facility | None | $45.71 | $204.17 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $69.18 | Professional | None (both parts) | $53.70 | $63.10 | $69.18 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $18.20 | Professional | 26 · Professional part | $14.45 | $16.98 | $18.20 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $50.12 | Professional | TC · Technical part | $38.90 | $45.71 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $501.19 | Facility | None | $109.65 | $275.42 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $46.77 Typical High $56.23 | Professional | None (both parts) | $34.67 | $46.77 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.18 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $13.18 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $38.90 | Professional | TC · Technical part | $24.55 | $32.36 | $38.90 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None | $107.15 | $107.15 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $64.57 Typical High $93.33 | Facility | None | $38.90 | $64.57 | $93.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $64.57 Typical High $77.62 | Professional | None (both parts) | $33.88 | $64.57 | $77.62 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $18.62 Typical High $26.30 | Professional | 26 · Professional part | $8.51 | $18.62 | $26.30 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $23.99 | $46.77 | $53.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $18.20 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $15.14 Median $38.02 Typical High $67.61 | Facility | None | $15.14 | $38.02 | $67.61 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $15.14 Median $38.02 Typical High $79.43 | Professional | None (both parts) | $15.14 | $38.02 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $147.91 Median $223.87 Typical High $316.23 | Facility | None | $147.91 | $223.87 | $316.23 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $77.62 | Professional | None (both parts) | $54.95 | $67.61 | $77.62 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $21.38 | Professional | 26 · Professional part | $14.45 | $16.98 | $21.38 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $56.23 | Professional | TC · Technical part | $40.74 | $50.12 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $30.90 Typical High $120.23 | Facility | None | $30.20 | $30.90 | $120.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $43.65 Typical High $58.88 | Professional | None (both parts) | $30.20 | $43.65 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $28.18 | $33.11 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $17.38 | Professional | 26 · Professional part | $8.13 | $9.12 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $23.99 | $43.65 |
6 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 $19.05 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $19.05 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $7.59 | $12.88 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $30.90 | $52.48 | $52.48 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $37.15 Median $43.65 Typical High $52.48 | Professional | 78 · Unplanned return to OR | $37.15 | $43.65 | $52.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $19.50 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $7.76 | $12.88 | $12.88 |
Where Idaho sits
The same service costs 4.1 times more in Alaska than in New York. 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.
Idaho· 6th of 51
$63.10
AK $95.50NY $23.44
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.