How much rates vary
Facilitymedian $214 · 10th to 90th $37 to $380Professionalmedian $55 · 10th to 90th $28 to $68
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 $72.44 Median $74.13 Typical High $208.93 | Facility | None | $72.44 | $74.13 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $61.66 Typical High $67.61 | Professional | None (both parts) | $28.84 | $61.66 | $67.61 |
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 $20.42 Median $45.71 Typical High $50.12 | Professional | TC · Technical part | $20.42 | $45.71 | $50.12 |
BCBS Idaho Setting Facility Modifier None Typical Low $67.61 Median $213.80 Typical High $380.19 | Facility | None | $67.61 | $213.80 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $66.07 | Professional | None (both parts) | $51.29 | $60.26 | $66.07 |
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 $37.15 Median $43.65 Typical High $48.98 | Professional | TC · Technical part | $37.15 | $43.65 | $48.98 |
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 $33.88 Median $44.67 Typical High $53.70 | Professional | None (both parts) | $33.88 | $44.67 | $53.70 |
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 $24.55 Median $31.62 Typical High $38.02 | Professional | TC · Technical part | $24.55 | $31.62 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $61.66 Median $204.17 Typical High $407.38 | Facility | None | $61.66 | $204.17 | $407.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $56.23 Typical High $74.13 | Professional | None (both parts) | $30.20 | $56.23 | $74.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $16.22 Typical High $19.50 | Professional | 26 · Professional part | $7.94 | $16.22 | $19.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $22.39 | $45.71 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $17.78 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $14.13 Median $37.15 Typical High $64.57 | Facility | None | $14.13 | $37.15 | $64.57 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $14.13 Median $37.15 Typical High $75.86 | Professional | None (both parts) | $14.13 | $37.15 | $75.86 |
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 $52.48 Median $64.57 Typical High $74.13 | Professional | None (both parts) | $52.48 | $64.57 | $74.13 |
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 $38.90 Median $48.98 Typical High $54.95 | Professional | TC · Technical part | $38.90 | $48.98 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $28.84 Median $29.51 Typical High $194.98 | Facility | None | $28.84 | $29.51 | $194.98 |
Select Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $56.23 | Professional | None (both parts) | $28.84 | $41.69 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $26.92 | $32.36 | $57.54 |
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 $19.50 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $19.50 | $23.44 | $41.69 |
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 $18.20 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $18.20 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $7.24 | $12.59 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $30.20 | $50.12 | $50.12 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $35.48 Median $41.69 Typical High $50.12 | Professional | 78 · Unplanned return to OR | $35.48 | $41.69 | $50.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $18.62 | $30.90 | $30.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $7.41 | $12.59 | $12.59 |
Where Idaho sits
The same service costs 3.7 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· 6th of 51
$60.26
AK $91.20FL $24.55
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.