How much rates vary
Facilitymedian $195 · 10th to 90th $35 to $309Professionalmedian $55 · 10th to 90th $28 to $71
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 $43.65 Median $63.10 Typical High $75.86 | Facility | None | $43.65 | $63.10 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $63.10 Typical High $67.61 | Professional | None (both parts) | $28.84 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $18.62 Typical High $19.50 | Professional | 26 · Professional part | $8.32 | $18.62 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $44.67 Typical High $48.98 | Professional | TC · Technical part | $20.42 | $44.67 | $48.98 |
BCBS Idaho Setting Facility Modifier None Typical Low $74.13 Median $208.93 Typical High $309.03 | Facility | None | $74.13 | $208.93 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $66.07 | Professional | None (both parts) | $50.12 | $58.88 | $66.07 |
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 $35.48 Median $41.69 Typical High $46.77 | Professional | TC · Technical part | $35.48 | $41.69 | $46.77 |
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 $34.67 Median $44.67 Typical High $53.70 | Professional | None (both parts) | $34.67 | $44.67 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.18 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $13.18 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $38.02 | Professional | TC · Technical part | $23.99 | $30.90 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Moda Health Setting Facility Modifier None Typical Low $47.86 Median $257.04 Typical High $338.84 | Facility | None | $47.86 | $257.04 | $338.84 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $275.42 Typical High $338.84 | Facility | TC · Technical part | $53.70 | $275.42 | $338.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $63.10 Typical High $75.86 | Professional | None (both parts) | $30.20 | $63.10 | $75.86 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $18.62 Typical High $27.54 | Professional | 26 · Professional part | $8.51 | $18.62 | $27.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $43.65 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $43.65 | $48.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.98 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $16.98 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $15.14 Median $35.48 Typical High $64.57 | Facility | None | $15.14 | $35.48 | $64.57 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $15.14 Median $36.31 Typical High $75.86 | Professional | None (both parts) | $15.14 | $36.31 | $75.86 |
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 $52.48 Median $64.57 Typical High $75.86 | Professional | None (both parts) | $52.48 | $64.57 | $75.86 |
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 $38.02 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $38.02 | $46.77 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $28.84 Median $29.51 Typical High $190.55 | Facility | None | $28.84 | $29.51 | $190.55 |
Select Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $56.23 | Professional | None (both parts) | $28.84 | $41.69 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $58.88 | Professional | None (both parts) | $27.54 | $32.36 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $8.13 | $9.77 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $19.05 | $22.91 | $40.74 |
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 $18.20 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $18.20 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $7.24 | $12.59 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $30.20 | $50.12 | $50.12 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $35.48 Median $41.69 Typical High $50.12 | Professional | 78 · Unplanned return to OR | $35.48 | $41.69 | $50.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $19.05 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $7.59 | $12.59 | $12.59 |
Where Idaho sits
The same service costs 4.3 times more in Alaska than in New York. 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
$58.88
AK $93.33NY $21.88
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.