How much rates vary
Facilitymedian $204 · 10th to 90th $47 to $380Professionalmedian $76 · 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 $57.54 Median $100.00 Typical High $107.15 | Facility | None | $57.54 | $100.00 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $85.11 Typical High $91.20 | Professional | None (both parts) | $42.66 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $25.70 Typical High $26.92 | Professional | 26 · Professional part | $10.96 | $25.70 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $58.88 | $67.61 |
BCBS Idaho Setting Facility Modifier None Typical Low $64.57 Median $213.80 Typical High $380.19 | Facility | None | $64.57 | $213.80 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $89.13 | Professional | None (both parts) | $70.79 | $83.18 | $89.13 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $26.30 | Professional | 26 · Professional part | $20.42 | $23.99 | $26.30 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $63.10 | Professional | TC · Technical part | $50.12 | $58.88 | $63.10 |
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 $45.71 Median $60.26 Typical High $72.44 | Professional | None (both parts) | $45.71 | $60.26 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $21.88 | Professional | 26 · Professional part | $14.45 | $18.62 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $51.29 | Professional | TC · Technical part | $31.62 | $41.69 | $51.29 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $194.98 | Professional | None | $131.83 | $131.83 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $389.05 | Facility | None | $50.12 | $100.00 | $389.05 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $46.77 | $85.11 | $102.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $24.55 Typical High $29.51 | Professional | 26 · Professional part | $11.22 | $24.55 | $29.51 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $58.88 Typical High $64.57 | Professional | TC · Technical part | $35.48 | $58.88 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $22.91 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $19.95 Median $47.86 Typical High $89.13 | Facility | None | $19.95 | $47.86 | $89.13 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $19.95 Median $50.12 Typical High $107.15 | Professional | None (both parts) | $19.95 | $50.12 | $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 $69.18 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $69.18 | $87.10 | $102.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $24.55 | $30.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $70.79 | Professional | TC · Technical part | $50.12 | $61.66 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $39.81 Median $40.74 Typical High $208.93 | Facility | None | $39.81 | $40.74 | $208.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $75.86 | Professional | None (both parts) | $39.81 | $57.54 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $39.81 | $43.65 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $13.80 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $61.66 | Professional | TC · Technical part | $28.18 | $32.36 | $61.66 |
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 $24.55 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $24.55 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $9.77 | $16.98 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $67.61 Typical High $67.61 | Professional | FX · Film X-ray | $39.81 | $67.61 | $67.61 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $48.98 Median $57.54 Typical High $67.61 | Professional | 78 · Unplanned return to OR | $48.98 | $57.54 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $25.12 | $42.66 | $42.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $10.00 | $16.98 | $16.98 |
Where Idaho sits
The same service costs 3.7 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
$83.18
AK $123UT $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.