How much rates vary
Facilitymedian $229 · 10th to 90th $45 to $380Professionalmedian $85 · 10th to 90th $33 to $102
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $97.72 Typical High $100.00 | Professional | None (both parts) | $45.71 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $28.84 Typical High $29.51 | Professional | 26 · Professional part | $13.80 | $28.84 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $69.18 Typical High $70.79 | Professional | TC · Technical part | $32.36 | $69.18 | $70.79 |
BCBS Idaho Setting Facility Modifier None Typical Low $53.70 Median $251.19 Typical High $380.19 | Facility | None | $53.70 | $251.19 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $102.33 | Professional | None (both parts) | $75.86 | $89.13 | $102.33 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $25.70 | $29.51 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $72.44 | Professional | TC · Technical part | $53.70 | $63.10 | $72.44 |
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 $52.48 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $52.48 | $67.61 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $25.70 | Professional | 26 · Professional part | $15.85 | $20.42 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $47.86 Typical High $57.54 | Professional | TC · Technical part | $37.15 | $47.86 | $57.54 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | None | $131.83 | $131.83 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $22.91 Median $97.72 Typical High $117.49 | Facility | None | $22.91 | $97.72 | $117.49 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $97.72 Typical High $114.82 | Professional | None (both parts) | $48.98 | $97.72 | $114.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $14.13 | $28.18 | $29.51 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $67.61 Typical High $69.18 | Professional | TC · Technical part | $34.67 | $67.61 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $26.30 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $21.88 Median $53.70 Typical High $97.72 | Facility | None | $21.88 | $53.70 | $97.72 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $21.88 Median $53.70 Typical High $114.82 | Professional | None (both parts) | $21.88 | $53.70 | $114.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $389.05 | Facility | None | $213.80 | $302.00 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $114.82 | Professional | None (both parts) | $79.43 | $97.72 | $114.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $22.39 | $27.54 | $33.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $70.79 | $81.28 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $44.67 Typical High $245.47 | Facility | None | $43.65 | $44.67 | $245.47 |
Select Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $85.11 | Professional | None (both parts) | $43.65 | $63.10 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $91.20 | Professional | None (both parts) | $42.66 | $50.12 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.14 Typical High $28.84 | Professional | 26 · Professional part | $13.49 | $15.14 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $61.66 | Professional | TC · Technical part | $29.51 | $34.67 | $61.66 |
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 $27.54 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $27.54 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $10.96 | $19.50 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $46.77 | $77.62 | $77.62 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $53.70 Median $63.10 Typical High $75.86 | Professional | 78 · Unplanned return to OR | $53.70 | $63.10 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $28.84 | $48.98 | $48.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $11.48 | $19.50 | $19.50 |
Where Idaho sits
The same service costs 4.1 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· 6th of 51
$89.13
AK $132UT $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.