How much rates vary
Facilitymedian $186 · 10th to 90th $45 to $309Professionalmedian $66 · 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 TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | TC · Technical part | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $45.71 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $9.12 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $36.31 | $58.88 | $58.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $45.71 Median $194.98 Typical High $309.03 | Facility | None | $45.71 | $194.98 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $58.88 | $70.79 | $79.43 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $17.78 | Professional | 26 · Professional part | $13.49 | $15.85 | $17.78 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $61.66 | Professional | TC · Technical part | $45.71 | $53.70 | $61.66 |
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 $40.74 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $40.74 | $54.95 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $15.14 | Professional | 26 · Professional part | $9.77 | $12.59 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $50.12 | Professional | TC · Technical part | $31.62 | $41.69 | $50.12 |
Hally Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | None | $67.61 | $67.61 | $74.13 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $75.86 Typical High $107.15 | Facility | None | $38.90 | $75.86 | $107.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $47.86 | $75.86 | $89.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $11.22 | $16.98 | $16.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $41.69 | $58.88 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.39 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $22.39 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $14.13 Median $46.77 Typical High $75.86 | Facility | None | $14.13 | $46.77 | $75.86 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $14.13 Median $45.71 Typical High $89.13 | Professional | None (both parts) | $14.13 | $45.71 | $89.13 |
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 $61.66 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $61.66 | $77.62 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $19.95 | Professional | 26 · Professional part | $13.18 | $16.60 | $19.95 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $48.98 | $61.66 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $34.67 Typical High $158.49 | Facility | None | $33.88 | $34.67 | $158.49 |
Select Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $33.88 | $48.98 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $77.62 | Professional | None (both parts) | $36.31 | $40.74 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $17.38 | Professional | 26 · Professional part | $8.71 | $9.12 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $32.36 | $60.26 |
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 $22.39 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $22.39 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $9.12 | $15.14 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $60.26 Typical High $60.26 | Professional | FX · Film X-ray | $36.31 | $60.26 | $60.26 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $41.69 Median $48.98 Typical High $58.88 | Professional | 78 · Unplanned return to OR | $41.69 | $48.98 | $58.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $22.91 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $9.12 | $15.14 | $15.14 |
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· 6th of 51
$70.79
AK $110FL $29.51
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.