How much rates vary
Facilitymedian $200 · 10th to 90th $46 to $316Professionalmedian $63 · 10th to 90th $29 to $85
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 $56.23 Median $87.10 Typical High $144.54 | Facility | None | $56.23 | $87.10 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $72.44 Typical High $83.18 | Professional | None (both parts) | $33.11 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $17.78 Typical High $20.42 | Professional | 26 · Professional part | $8.13 | $17.78 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $54.95 Typical High $63.10 | Professional | TC · Technical part | $25.12 | $54.95 | $63.10 |
BCBS Idaho Setting Facility Modifier None Typical Low $74.13 Median $204.17 Typical High $309.03 | Facility | None | $74.13 | $204.17 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $79.43 | Professional | None (both parts) | $61.66 | $72.44 | $79.43 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $18.20 | Professional | 26 · Professional part | $14.45 | $16.98 | $18.20 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $60.26 | Professional | TC · Technical part | $47.86 | $56.23 | $60.26 |
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 $39.81 Median $52.48 Typical High $63.10 | Professional | None (both parts) | $39.81 | $52.48 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $12.88 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $45.71 | Professional | TC · Technical part | $29.51 | $38.02 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | None | $109.65 | $109.65 | $138.04 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $269.15 Typical High $426.58 | Facility | None | $54.95 | $269.15 | $426.58 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $269.15 Typical High $562.34 | Facility | TC · Technical part | $57.54 | $269.15 | $562.34 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $63.10 Typical High $97.72 | Professional | None (both parts) | $25.12 | $63.10 | $97.72 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $17.78 Typical High $26.92 | Professional | 26 · Professional part | $7.94 | $17.78 | $26.92 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $54.95 Typical High $63.10 | Professional | TC · Technical part | $26.92 | $54.95 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $21.88 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $14.13 Median $45.71 Typical High $79.43 | Facility | None | $14.13 | $45.71 | $79.43 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $14.13 Median $45.71 Typical High $93.33 | Professional | None (both parts) | $14.13 | $45.71 | $93.33 |
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 $61.66 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $61.66 | $75.86 | $89.13 |
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 $47.86 Median $60.26 Typical High $67.61 | Professional | TC · Technical part | $47.86 | $60.26 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $169.82 | Facility | None | $35.48 | $35.48 | $169.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $35.48 | $51.29 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $30.90 | $37.15 | $67.61 |
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 $22.91 Median $27.54 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $27.54 | $50.12 |
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 $21.38 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $21.38 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $8.71 | $14.45 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $58.88 Typical High $58.88 | Professional | FX · Film X-ray | $34.67 | $58.88 | $58.88 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $43.65 Median $51.29 Typical High $58.88 | Professional | 78 · Unplanned return to OR | $43.65 | $51.29 | $58.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $21.88 | $36.31 | $36.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $8.71 | $14.45 | $14.45 |
Where Idaho sits
The same service costs 13.5 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· 8th of 51
$70.79
VT $389FL $28.84
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.