How much rates vary
Facilitymedian $158 · 10th to 90th $21 to $309Professionalmedian $34 · 10th to 90th $20 to $41
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 $19.50 Median $19.50 Typical High $19.50 | Facility | TC · Technical part | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $33.88 Typical High $36.31 | Professional | None (both parts) | $21.38 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $16.22 Typical High $20.89 | Professional | 26 · Professional part | $9.77 | $16.22 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $15.49 Typical High $15.49 | Professional | TC · Technical part | $10.00 | $15.49 | $15.49 |
BCBS Idaho Setting Facility Modifier None Typical Low $66.07 Median $158.49 Typical High $309.03 | Facility | None | $66.07 | $158.49 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $43.65 | Professional | None (both parts) | $32.36 | $38.02 | $43.65 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $21.38 | Professional | 26 · Professional part | $16.98 | $19.95 | $21.38 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $17.78 Typical High $19.50 | Professional | TC · Technical part | $15.49 | $17.78 | $19.50 |
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 $22.91 Median $28.84 Typical High $33.88 | Professional | None (both parts) | $22.91 | $28.84 | $33.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.14 Typical High $19.05 | Professional | 26 · Professional part | $11.75 | $15.14 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $12.30 Typical High $14.79 | Professional | TC · Technical part | $9.77 | $12.30 | $14.79 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $177.83 | Professional | None | $117.49 | $117.49 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $21.38 Median $36.31 Typical High $51.29 | Facility | None | $21.38 | $36.31 | $51.29 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $36.31 Typical High $43.65 | Professional | None (both parts) | $21.38 | $36.31 | $43.65 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $20.89 Typical High $31.62 | Professional | 26 · Professional part | $10.47 | $20.89 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $15.49 Typical High $18.62 | Professional | TC · Technical part | $10.96 | $15.49 | $18.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.51 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $8.51 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $40.74 | Facility | None | $19.05 | $19.05 | $40.74 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $19.05 Median $38.90 Typical High $47.86 | Professional | None (both parts) | $19.05 | $38.90 | $47.86 |
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 $31.62 Median $38.02 Typical High $43.65 | Professional | None (both parts) | $31.62 | $38.02 | $43.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $24.55 | Professional | 26 · Professional part | $16.60 | $19.95 | $24.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $19.50 | Professional | TC · Technical part | $15.14 | $17.78 | $19.50 |
Select Health Setting Facility Modifier None Typical Low $18.20 Median $18.62 Typical High $95.50 | Facility | None | $18.20 | $18.62 | $95.50 |
Select Health Setting Professional Modifier None (both parts) Typical Low $18.20 Median $26.30 Typical High $38.90 | Professional | None (both parts) | $18.20 | $26.30 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $21.38 Typical High $43.65 | Professional | None (both parts) | $19.50 | $21.38 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $10.47 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.96 Typical High $20.89 | Professional | TC · Technical part | $8.71 | $10.96 | $20.89 |
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 $10.72 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $10.72 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $4.27 | $7.24 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $17.38 | $28.84 | $28.84 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $22.39 Median $26.30 Typical High $30.20 | Professional | 78 · Unplanned return to OR | $22.39 | $26.30 | $30.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $10.72 | $18.20 | $18.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $4.27 | $7.24 | $7.24 |
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· 9th of 51
$36.31
AK $56.23FL $15.49
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.