How much rates vary
Facilitymedian $204 · 10th to 90th $51 to $380Professionalmedian $78 · 10th to 90th $33 to $95
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 $69.18 Median $107.15 Typical High $107.15 | Facility | None | $69.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $89.13 Typical High $93.33 | Professional | None (both parts) | $44.67 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $25.12 Typical High $25.70 | Professional | 26 · Professional part | $10.23 | $25.12 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $64.57 Typical High $67.61 | Professional | TC · Technical part | $35.48 | $64.57 | $67.61 |
BCBS Idaho Setting Facility Modifier None Typical Low $52.48 Median $213.80 Typical High $380.19 | Facility | None | $52.48 | $213.80 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $95.50 | Professional | None (both parts) | $72.44 | $85.11 | $95.50 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $25.70 | Professional | 26 · Professional part | $19.05 | $22.39 | $25.70 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $52.48 | $61.66 | $69.18 |
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 $48.98 Median $64.57 Typical High $77.62 | Professional | None (both parts) | $48.98 | $64.57 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.20 Typical High $21.38 | Professional | 26 · Professional part | $13.80 | $18.20 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $54.95 | Professional | TC · Technical part | $34.67 | $47.86 | $54.95 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $162.18 | Professional | None | $144.54 | $144.54 | $162.18 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $128.82 | Facility | None | $53.70 | $89.13 | $128.82 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $50.12 | $89.13 | $107.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $22.91 Typical High $25.12 | Professional | 26 · Professional part | $10.96 | $22.91 | $25.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $64.57 Typical High $67.61 | Professional | TC · Technical part | $36.31 | $64.57 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $25.12 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $19.50 Median $52.48 Typical High $91.20 | Facility | None | $19.50 | $52.48 | $91.20 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $19.50 Median $52.48 Typical High $107.15 | Professional | None (both parts) | $19.50 | $52.48 | $107.15 |
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 $74.13 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $74.13 | $91.20 | $107.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $29.51 | Professional | 26 · Professional part | $19.50 | $23.99 | $29.51 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $77.62 | Professional | TC · Technical part | $54.95 | $67.61 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $41.69 Typical High $213.80 | Facility | None | $40.74 | $41.69 | $213.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $81.28 | Professional | None (both parts) | $40.74 | $58.88 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $87.10 | Professional | None (both parts) | $42.66 | $45.71 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $10.47 | $13.18 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $30.90 | $34.67 | $64.57 |
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 $25.70 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $25.70 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $10.23 | $17.78 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $42.66 | $72.44 | $72.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $50.12 Median $58.88 Typical High $70.79 | Professional | 78 · Unplanned return to OR | $50.12 | $58.88 | $70.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $26.92 | $44.67 | $44.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $10.72 | $17.78 | $17.78 |
Where Idaho sits
The same service costs 3.9 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
$85.11
AK $129UT $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.