How much rates vary
Facilitymedian $562 · 10th to 90th $87 to $1,202Professionalmedian $145 · 10th to 90th $50 to $174
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 Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $95.50 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $67.61 | $117.49 | $117.49 |
BCBS Idaho Setting Facility Modifier None Typical Low $144.54 Median $724.44 Typical High $1,258.93 | Facility | None | $144.54 | $724.44 | $1,258.93 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $177.83 | Professional | None (both parts) | $131.83 | $154.88 | $177.83 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $48.98 | $56.23 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $120.23 | Professional | TC · Technical part | $89.13 | $104.71 | $120.23 |
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 $93.33 Median $125.89 Typical High $147.91 | Professional | None (both parts) | $93.33 | $125.89 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $48.98 | Professional | 26 · Professional part | $30.90 | $39.81 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $100.00 | Professional | TC · Technical part | $63.10 | $83.18 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | None | $213.80 | $213.80 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $173.78 Typical High $251.19 | Facility | None | $102.33 | $173.78 | $251.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $120.23 | $173.78 | $204.17 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $54.95 | $54.95 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $117.49 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | None (both parts) | $33.11 | $33.11 | $42.66 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $42.66 Median $87.10 Typical High $165.96 | Facility | None | $42.66 | $87.10 | $165.96 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $42.66 Median $93.33 Typical High $194.98 | Professional | None (both parts) | $42.66 | $93.33 | $194.98 |
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 $134.90 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $134.90 | $169.82 | $204.17 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $52.48 | $64.57 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $117.49 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $75.86 Typical High $269.15 | Facility | None | $74.13 | $75.86 | $269.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $74.13 | $107.15 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $154.88 | Professional | None (both parts) | $75.86 | $87.10 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $29.51 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $57.54 Typical High $102.33 | Professional | TC · Technical part | $50.12 | $57.54 | $102.33 |
7 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 Facility Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | FX · Film X-ray | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $47.86 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $19.05 | $34.67 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $83.18 | $138.04 | $138.04 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $107.15 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $91.20 | $107.15 | $128.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $51.29 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $20.89 | $34.67 | $34.67 |
Where Idaho sits
The same service costs 3.7 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· 8th of 51
$155
AK $251FL $67.61
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.