How much rates vary
Facilitymedian $331 · 10th to 90th $69 to $1,905Professionalmedian $112 · 10th to 90th $35 to $132
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 TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | TC · Technical part | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $70.79 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $19.05 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $51.29 | $87.10 | $87.10 |
BCBS Idaho Setting Facility Modifier None Typical Low $75.86 Median $331.13 Typical High $1,905.46 | Facility | None | $75.86 | $331.13 | $1,905.46 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $100.00 | $117.49 | $131.83 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $38.02 | Professional | 26 · Professional part | $28.18 | $33.11 | $38.02 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $93.33 | Professional | TC · Technical part | $70.79 | $83.18 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,621.81 Typical High $3,019.95 | Facility | None | $660.69 | $1,621.81 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $63.10 | $87.10 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $31.62 | Professional | 26 · Professional part | $19.95 | $26.30 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $70.79 | Professional | TC · Technical part | $41.69 | $58.88 | $70.79 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | None | $186.21 | $186.21 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $123.03 Typical High $177.83 | Facility | None | $52.48 | $123.03 | $177.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $83.18 | $123.03 | $147.91 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $36.31 | $36.31 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $52.48 | $87.10 | $87.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | None (both parts) | $33.11 | $33.11 | $33.88 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $29.51 Median $70.79 Typical High $128.82 | Facility | None | $29.51 | $70.79 | $128.82 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $29.51 Median $70.79 Typical High $151.36 | Professional | None (both parts) | $29.51 | $70.79 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $331.13 Median $1,318.26 Typical High $1,949.84 | Facility | None | $331.13 | $1,318.26 | $1,949.84 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $147.91 | Professional | None (both parts) | $102.33 | $128.82 | $147.91 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $34.67 | $42.66 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $104.71 | Professional | TC · Technical part | $74.13 | $93.33 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $57.54 Typical High $165.96 | Facility | None | $56.23 | $57.54 | $165.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $56.23 | $83.18 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $107.15 | Professional | None (both parts) | $51.29 | $60.26 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.05 Typical High $34.67 | Professional | 26 · Professional part | $17.38 | $19.05 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $41.69 Typical High $74.13 | Professional | TC · Technical part | $33.88 | $41.69 | $74.13 |
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 $35.48 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $35.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $14.13 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $57.54 | $100.00 | $100.00 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $69.18 Median $81.28 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $69.18 | $81.28 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $35.48 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $14.45 | $25.12 | $25.12 |
Where Idaho sits
The same service costs 5.6 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.
Idaho· 5th of 51
$117
AK $182UT $32.36
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.