How much rates vary
Facilitymedian $676 · 10th to 90th $100 to $1,072Professionalmedian $93 · 10th to 90th $33 to $457
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 $537.03 Median $537.03 Typical High $537.03 | Facility | TC · Technical part | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $288.40 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $15.85 | $30.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $281.84 | $446.68 | $446.68 |
BCBS Idaho Setting Facility Modifier None Typical Low $436.52 Median $831.76 Typical High $1,047.13 | Facility | None | $436.52 | $831.76 | $1,047.13 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $398.11 | Professional | None (both parts) | $41.69 | $48.98 | $398.11 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $31.62 | Professional | 26 · Professional part | $23.44 | $27.54 | $31.62 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $398.11 | Professional | TC · Technical part | $30.20 | $35.48 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,348.96 | Facility | None | $316.23 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $89.13 | Professional | None (both parts) | $54.95 | $70.79 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $16.60 | $22.39 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $38.02 | $50.12 | $60.26 |
Hally Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | None | $181.97 | $181.97 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $457.09 Typical High $645.65 | Facility | None | $58.88 | $457.09 | $645.65 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $64.57 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $19.50 | $30.20 | $30.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $281.84 | $446.68 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.90 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $100.00 | Facility | None | $22.91 | $22.91 | $100.00 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $22.91 Median $54.95 Typical High $117.49 | Professional | None (both parts) | $22.91 | $54.95 | $117.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $891.25 | Facility | None | $446.68 | $676.08 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $81.28 | $102.33 | $102.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $23.99 | $29.51 | $35.48 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $72.44 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $1,288.25 | Facility | None | $48.98 | $48.98 | $1,288.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $48.98 Typical High $467.74 | Professional | None (both parts) | $24.55 | $48.98 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $54.95 | $263.03 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.85 Typical High $30.20 | Professional | 26 · Professional part | $15.14 | $15.85 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $245.47 Typical High $457.09 | Professional | TC · Technical part | $39.81 | $245.47 | $457.09 |
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 $141.25 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $141.25 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $57.54 | $91.20 | $91.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $229.09 | $363.08 | $363.08 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $29.51 Median $34.67 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $29.51 | $34.67 | $398.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $141.25 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $57.54 | $91.20 | $91.20 |
Where Idaho sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 36th of 51
$102
CO $316MI $47.86
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.