How much rates vary
Facilitymedian $214 · 10th to 90th $43 to $380Professionalmedian $65 · 10th to 90th $33 to $79
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 $54.95 Median $83.18 Typical High $87.10 | Facility | None | $54.95 | $83.18 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $72.44 Typical High $75.86 | Professional | None (both parts) | $37.15 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $18.62 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $18.62 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $53.70 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $53.70 | $56.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $74.13 Median $218.78 Typical High $380.19 | Facility | None | $74.13 | $218.78 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $75.86 | Professional | None (both parts) | $57.54 | $67.61 | $75.86 |
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 $43.65 Median $51.29 Typical High $57.54 | Professional | TC · Technical part | $43.65 | $51.29 | $57.54 |
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 $38.90 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $38.90 | $51.29 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.45 Typical High $16.98 | Professional | 26 · Professional part | $11.48 | $14.45 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $45.71 | Professional | TC · Technical part | $28.18 | $37.15 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $107.15 | Professional | None | $87.10 | $87.10 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $85.11 Typical High $346.74 | Facility | None | $54.95 | $85.11 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $40.74 | $72.44 | $85.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $18.62 Typical High $30.90 | Professional | 26 · Professional part | $10.72 | $18.62 | $30.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $53.70 Typical High $58.88 | Professional | TC · Technical part | $28.84 | $53.70 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $20.89 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $15.14 Median $42.66 Typical High $74.13 | Facility | None | $15.14 | $42.66 | $74.13 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $15.14 Median $42.66 Typical High $87.10 | Professional | None (both parts) | $15.14 | $42.66 | $87.10 |
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 $60.26 Median $74.13 Typical High $85.11 | Professional | None (both parts) | $60.26 | $74.13 | $85.11 |
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 $45.71 Median $56.23 Typical High $64.57 | Professional | TC · Technical part | $45.71 | $56.23 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $33.88 Typical High $194.98 | Facility | None | $33.11 | $33.88 | $194.98 |
Select Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $66.07 | Professional | None (both parts) | $33.11 | $47.86 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.02 Typical High $72.44 | Professional | None (both parts) | $36.31 | $38.02 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $22.39 | Professional | 26 · Professional part | $10.47 | $12.02 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $51.29 | Professional | TC · Technical part | $24.55 | $26.92 | $51.29 |
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 $20.89 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $20.89 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $8.32 | $14.45 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $57.54 Typical High $57.54 | Professional | FX · Film X-ray | $34.67 | $57.54 | $57.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $40.74 Median $47.86 Typical High $57.54 | Professional | 78 · Unplanned return to OR | $40.74 | $47.86 | $57.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $21.38 | $35.48 | $35.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $8.51 | $14.45 | $14.45 |
Where Idaho sits
The same service costs 3.6 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· 7th of 51
$67.61
AK $105FL $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.