How much rates vary
Facilitymedian $219 · 10th to 90th $37 to $380Professionalmedian $71 · 10th to 90th $33 to $81
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 Professional Modifier None (both parts) Typical Low $39.81 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $39.81 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $9.77 | $18.62 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $30.90 | $58.88 | $58.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $91.20 Median $229.09 Typical High $380.19 | Facility | None | $91.20 | $229.09 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $63.10 | $74.13 | $87.10 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $19.05 | Professional | 26 · Professional part | $14.45 | $16.98 | $19.05 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $64.57 | Professional | TC · Technical part | $47.86 | $56.23 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $602.56 | Facility | None | $147.91 | $371.54 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $53.70 Typical High $66.07 | Professional | None (both parts) | $41.69 | $53.70 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $16.60 | Professional | 26 · Professional part | $10.23 | $13.49 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $48.98 | Professional | TC · Technical part | $30.90 | $39.81 | $48.98 |
Hally Health Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $95.50 | Professional | None | $85.11 | $85.11 | $95.50 |
Moda Health Setting Facility Modifier None Typical Low $37.15 Median $77.62 Typical High $112.20 | Facility | None | $37.15 | $77.62 | $112.20 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $50.12 | $77.62 | $93.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $18.62 | $18.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $36.31 | $58.88 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.39 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $22.39 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $81.28 | Facility | None | $15.14 | $15.14 | $81.28 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $15.14 Median $81.28 Typical High $95.50 | Professional | None (both parts) | $15.14 | $81.28 | $95.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $389.05 | Facility | None | $158.49 | $263.03 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $93.33 | Professional | None (both parts) | $64.57 | $79.43 | $93.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $21.88 | Professional | 26 · Professional part | $14.45 | $17.78 | $21.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $70.79 | Professional | TC · Technical part | $48.98 | $61.66 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $36.31 Typical High $181.97 | Facility | None | $35.48 | $36.31 | $181.97 |
Select Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $35.48 | $52.48 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $34.67 | $38.90 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $18.62 | Professional | 26 · Professional part | $9.12 | $9.77 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $29.51 | $54.95 |
7 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 Facility Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | FX · Film X-ray | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $22.39 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $8.91 | $15.49 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $61.66 Typical High $61.66 | Professional | FX · Film X-ray | $36.31 | $61.66 | $61.66 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $43.65 Median $51.29 Typical High $60.26 | Professional | 78 · Unplanned return to OR | $43.65 | $51.29 | $60.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $22.91 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $9.12 | $15.49 | $15.49 |
Where Idaho sits
The same service costs 3.9 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.
Idaho· 5th of 51
$74.13
AK $112FL $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.