How much rates vary
Facilitymedian $191 · 10th to 90th $38 to $309Professionalmedian $56 · 10th to 90th $30 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 $48.98 Median $77.62 Typical High $81.28 | Facility | None | $48.98 | $77.62 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $64.57 Typical High $74.13 | Professional | None (both parts) | $30.20 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $17.78 Typical High $20.42 | Professional | 26 · Professional part | $8.32 | $17.78 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $21.88 | $46.77 | $53.70 |
BCBS Idaho Setting Facility Modifier None Typical Low $72.44 Median $208.93 Typical High $309.03 | Facility | None | $72.44 | $208.93 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $69.18 | Professional | None (both parts) | $52.48 | $61.66 | $69.18 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $18.20 | Professional | 26 · Professional part | $14.13 | $16.60 | $18.20 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $50.12 | Professional | TC · Technical part | $38.02 | $44.67 | $50.12 |
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 $45.71 Typical High $54.95 | Professional | None (both parts) | $34.67 | $45.71 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $15.85 | Professional | 26 · Professional part | $9.77 | $12.88 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $39.81 | Professional | TC · Technical part | $25.12 | $32.36 | $39.81 |
Hally Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $100.00 | Professional | None | $95.50 | $95.50 | $100.00 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $229.09 Typical High $426.58 | Facility | None | $48.98 | $229.09 | $426.58 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $245.47 Typical High $363.08 | Facility | TC · Technical part | $54.95 | $245.47 | $363.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $63.10 Typical High $77.62 | Professional | None (both parts) | $32.36 | $63.10 | $77.62 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $17.78 Typical High $21.38 | Professional | 26 · Professional part | $8.51 | $17.78 | $21.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $23.99 | $46.77 | $53.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $18.20 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $14.45 Median $38.02 Typical High $66.07 | Facility | None | $14.45 | $38.02 | $66.07 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $14.45 Median $38.02 Typical High $77.62 | Professional | None (both parts) | $14.45 | $38.02 | $77.62 |
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 $54.95 Median $67.61 Typical High $77.62 | Professional | None (both parts) | $54.95 | $67.61 | $77.62 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $16.98 | $20.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $40.74 | $50.12 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $29.51 Median $30.20 Typical High $190.55 | Facility | None | $29.51 | $30.20 | $190.55 |
Select Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $58.88 | Professional | None (both parts) | $29.51 | $42.66 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $28.18 | $33.11 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $9.55 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $23.99 | $42.66 |
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 $19.05 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $19.05 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $7.59 | $12.88 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $30.90 | $52.48 | $52.48 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $36.31 Median $42.66 Typical High $51.29 | Professional | 78 · Unplanned return to OR | $36.31 | $42.66 | $51.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $19.50 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $7.76 | $12.88 | $12.88 |
Where Idaho sits
The same service costs 3.8 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· 7th of 51
$61.66
AK $95.50FL $25.12
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.