How much rates vary
Facilitymedian $195 · 10th to 90th $39 to $309Professionalmedian $56 · 10th to 90th $29 to $74
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 $50.12 Median $75.86 Typical High $77.62 | Facility | None | $50.12 | $75.86 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $64.57 Typical High $74.13 | Professional | None (both parts) | $29.51 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $16.98 Typical High $19.50 | Professional | 26 · Professional part | $7.76 | $16.98 | $19.50 |
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 $194.98 Typical High $309.03 | Facility | None | $72.44 | $194.98 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $69.18 | Professional | None (both parts) | $53.70 | $63.10 | $69.18 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $17.38 | Professional | 26 · Professional part | $13.49 | $15.85 | $17.38 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $51.29 | Professional | TC · Technical part | $40.74 | $47.86 | $51.29 |
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 $9.33 Median $12.30 Typical High $15.14 | Professional | 26 · Professional part | $9.33 | $12.30 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $39.81 | Professional | TC · Technical part | $25.70 | $33.11 | $39.81 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $151.36 | Professional | None | $91.20 | $91.20 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $263.03 Typical High $346.74 | Facility | None | $64.57 | $263.03 | $346.74 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $269.15 Typical High $346.74 | Facility | TC · Technical part | $50.12 | $269.15 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $58.88 Typical High $77.62 | Professional | None (both parts) | $29.51 | $58.88 | $77.62 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $16.98 Typical High $22.91 | Professional | 26 · Professional part | $8.13 | $16.98 | $22.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $23.44 | $46.77 | $53.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.62 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $18.62 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $13.80 Median $38.90 Typical High $69.18 | Facility | None | $13.80 | $38.90 | $69.18 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $13.80 Median $38.90 Typical High $81.28 | Professional | None (both parts) | $13.80 | $38.90 | $81.28 |
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 $13.18 Median $16.60 Typical High $19.95 | Professional | 26 · Professional part | $13.18 | $16.60 | $19.95 |
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 $30.90 Median $31.62 Typical High $162.18 | Facility | None | $30.90 | $31.62 | $162.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $58.88 | Professional | None (both parts) | $30.90 | $44.67 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $27.54 | $33.11 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $17.38 | Professional | 26 · Professional part | $8.13 | $9.12 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $24.55 | $43.65 |
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 $51.29 Typical High $51.29 | Professional | FX · Film X-ray | $30.90 | $51.29 | $51.29 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $38.02 Median $44.67 Typical High $51.29 | Professional | 78 · Unplanned return to OR | $38.02 | $44.67 | $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 6.0 times more in Vermont 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
VT $155FL $25.70
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.