How much rates vary
Facilitymedian $4,571 · 10th to 90th $112 to $7,079Professionalmedian $224 · 10th to 90th $83 to $257
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 $169.82 Median $169.82 Typical High $169.82 | Facility | TC · Technical part | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $134.90 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $89.13 | $144.54 | $144.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $112.20 Median $5,370.32 Typical High $7,762.47 | Facility | None | $112.20 | $5,370.32 | $7,762.47 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $251.19 | Professional | None (both parts) | $199.53 | $229.09 | $251.19 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $67.61 | $79.43 | $93.33 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $147.91 Typical High $158.49 | Professional | TC · Technical part | $131.83 | $147.91 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $5,011.87 Typical High $5,888.44 | Facility | None | $2,398.83 | $5,011.87 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $134.90 | $173.78 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $63.10 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $123.03 | Professional | TC · Technical part | $87.10 | $109.65 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $2,691.53 | Professional | None | $616.60 | $616.60 | $2,691.53 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $323.59 Typical High $501.19 | Facility | None | $134.90 | $323.59 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $158.49 | $229.09 | $269.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $162.18 | Professional | TC · Technical part | $100.00 | $144.54 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $75.86 | Professional | None (both parts) | $33.11 | $33.11 | $75.86 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $257.04 | Facility | None | $70.79 | $112.20 | $257.04 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $70.79 Median $141.25 Typical High $302.00 | Professional | None (both parts) | $70.79 | $141.25 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,388.44 Median $5,248.07 Typical High $6,918.31 | Facility | None | $3,388.44 | $5,248.07 | $6,918.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $186.21 | $229.09 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $79.43 | $100.00 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $169.82 | Professional | TC · Technical part | $120.23 | $147.91 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $117.49 Typical High $6,309.57 | Facility | None | $114.82 | $117.49 | $6,309.57 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $114.82 | $165.96 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $109.65 | $120.23 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $45.71 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $77.62 | $131.83 |
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 $67.61 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $67.61 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $26.92 | $45.71 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $107.15 | $181.97 | $181.97 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $165.96 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $141.25 | $165.96 | $177.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $67.61 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $26.92 | $45.71 | $45.71 |
Where Idaho sits
The same service costs 4.0 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· 4th of 51
$229
AK $339FL $85.11
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.