How much rates vary
Facilitymedian $263 · 10th to 90th $65 to $417Professionalmedian $95 · 10th to 90th $45 to $123
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 $79.43 Median $125.89 Typical High $134.90 | Facility | None | $79.43 | $125.89 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $107.15 Typical High $123.03 | Professional | None (both parts) | $53.70 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $28.18 Typical High $31.62 | Professional | 26 · Professional part | $14.13 | $28.18 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $79.43 Typical High $89.13 | Professional | TC · Technical part | $38.90 | $79.43 | $89.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $117.49 Median $275.42 Typical High $380.19 | Facility | None | $117.49 | $275.42 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $89.13 | $104.71 | $114.82 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $25.70 | $28.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $85.11 | Professional | TC · Technical part | $67.61 | $79.43 | $85.11 |
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 $57.54 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $57.54 | $75.86 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $25.70 | Professional | 26 · Professional part | $16.98 | $20.89 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $66.07 | Professional | TC · Technical part | $41.69 | $53.70 | $66.07 |
Hally Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $239.88 | Professional | None | $154.88 | $154.88 | $239.88 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $354.81 Typical High $537.03 | Facility | None | $100.00 | $354.81 | $537.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $323.59 Typical High $478.63 | Facility | TC · Technical part | $91.20 | $323.59 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $58.88 | $107.15 | $131.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $14.13 | $28.18 | $33.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $79.43 Typical High $89.13 | Professional | TC · Technical part | $42.66 | $79.43 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.90 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $21.38 Median $64.57 Typical High $114.82 | Facility | None | $21.38 | $64.57 | $114.82 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $21.38 Median $64.57 Typical High $134.90 | Professional | None (both parts) | $21.38 | $64.57 | $134.90 |
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 $89.13 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $89.13 | $109.65 | $128.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $26.30 | $32.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $95.50 | Professional | TC · Technical part | $67.61 | $85.11 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $52.48 Typical High $288.40 | Facility | None | $51.29 | $52.48 | $288.40 |
Select Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $74.13 Typical High $97.72 | Professional | None (both parts) | $51.29 | $74.13 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $51.29 | $54.95 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $29.51 | Professional | 26 · Professional part | $14.13 | $15.49 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $36.31 | $38.90 | $70.79 |
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 $30.90 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $30.90 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $12.30 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $51.29 | $85.11 | $85.11 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $74.13 Typical High $85.11 | Professional | 78 · Unplanned return to OR | $63.10 | $74.13 | $85.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $31.62 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $12.59 | $21.38 | $21.38 |
Where Idaho sits
The same service costs 4.8 times more in Alaska than in Utah. 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
$105
AK $158UT $33.11
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.