How much rates vary
Facilitymedian $191 · 10th to 90th $45 to $309Professionalmedian $66 · 10th to 90th $33 to $85
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 $52.48 Median $91.20 Typical High $91.20 | Facility | None | $52.48 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $75.86 Typical High $87.10 | Professional | None (both parts) | $34.67 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $17.78 Typical High $20.42 | Professional | 26 · Professional part | $8.13 | $17.78 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $58.88 Typical High $66.07 | Professional | TC · Technical part | $25.70 | $58.88 | $66.07 |
BCBS Idaho Setting Facility Modifier None Typical Low $74.13 Median $208.93 Typical High $309.03 | Facility | None | $74.13 | $208.93 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $60.26 | $70.79 | $79.43 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $17.78 | Professional | 26 · Professional part | $14.13 | $16.60 | $17.78 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $61.66 | Professional | TC · Technical part | $46.77 | $54.95 | $61.66 |
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 $41.69 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $41.69 | $53.70 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $15.85 | Professional | 26 · Professional part | $9.77 | $12.88 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $48.98 | Professional | TC · Technical part | $30.90 | $40.74 | $48.98 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | None | $91.20 | $91.20 | $117.49 |
Moda Health Setting Facility Modifier None Typical Low $45.71 Median $91.20 Typical High $295.12 | Facility | None | $45.71 | $91.20 | $295.12 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $36.31 | $75.86 | $91.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $17.78 Typical High $20.42 | Professional | 26 · Professional part | $8.51 | $17.78 | $20.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $57.54 Typical High $64.57 | Professional | TC · Technical part | $28.18 | $57.54 | $64.57 |
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 $14.13 Median $46.77 Typical High $77.62 | Facility | None | $14.13 | $46.77 | $77.62 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $14.13 Median $45.71 Typical High $91.20 | Professional | None (both parts) | $14.13 | $45.71 | $91.20 |
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 $63.10 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $63.10 | $77.62 | $91.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $20.42 | Professional | 26 · Professional part | $13.80 | $16.60 | $20.42 |
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 $34.67 Median $35.48 Typical High $190.55 | Facility | None | $34.67 | $35.48 | $190.55 |
Select Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $50.12 Typical High $67.61 | Professional | None (both parts) | $34.67 | $50.12 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $32.36 | $38.90 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $9.55 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $52.48 | Professional | TC · Technical part | $23.44 | $29.51 | $52.48 |
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 $21.88 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $21.88 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $8.71 | $15.14 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $61.66 Typical High $61.66 | Professional | FX · Film X-ray | $37.15 | $61.66 | $61.66 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $42.66 Median $50.12 Typical High $60.26 | Professional | 78 · Unplanned return to OR | $42.66 | $50.12 | $60.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $22.91 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $9.12 | $15.14 | $15.14 |
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· 6th of 51
$70.79
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.