How much rates vary
Facilitymedian $186 · 10th to 90th $50 to $309Professionalmedian $66 · 10th to 90th $32 to $87
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 $89.13 Typical High $112.20 | Facility | None | $56.23 | $89.13 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $74.13 Typical High $85.11 | Professional | None (both parts) | $32.36 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $14.13 Typical High $16.22 | Professional | 26 · Professional part | $6.46 | $14.13 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $60.26 | $69.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $66.07 Median $199.53 Typical High $309.03 | Facility | None | $66.07 | $199.53 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $81.28 | Professional | None (both parts) | $63.10 | $74.13 | $81.28 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $14.45 | Professional | 26 · Professional part | $11.22 | $13.18 | $14.45 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $66.07 | Professional | TC · Technical part | $52.48 | $61.66 | $66.07 |
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 $40.74 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $40.74 | $53.70 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $12.59 | Professional | 26 · Professional part | $7.94 | $10.00 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $41.69 Typical High $51.29 | Professional | TC · Technical part | $32.36 | $41.69 | $51.29 |
Hally Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | None | $109.65 | $109.65 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $208.93 Typical High $309.03 | Facility | None | $58.88 | $208.93 | $309.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $239.88 Typical High $812.83 | Facility | TC · Technical part | $58.88 | $239.88 | $812.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $69.18 Typical High $107.15 | Professional | None (both parts) | $33.11 | $69.18 | $107.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $6.92 | $14.13 | $21.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $60.26 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $23.99 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $11.22 Median $50.12 Typical High $81.28 | Facility | None | $11.22 | $50.12 | $81.28 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $11.22 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $11.22 | $50.12 | $95.50 |
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 $64.57 Median $79.43 Typical High $91.20 | Professional | None (both parts) | $64.57 | $79.43 | $91.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $16.60 | Professional | 26 · Professional part | $11.22 | $13.80 | $16.60 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $74.13 | Professional | TC · Technical part | $52.48 | $64.57 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $36.31 Median $37.15 Typical High $177.83 | Facility | None | $36.31 | $37.15 | $177.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $36.31 | $52.48 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $31.62 | $38.02 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $14.45 | Professional | 26 · Professional part | $6.76 | $7.59 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $30.20 | $56.23 |
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 $22.39 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $22.39 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $8.91 | $14.79 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $60.26 Typical High $60.26 | Professional | FX · Film X-ray | $36.31 | $60.26 | $60.26 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $44.67 Median $52.48 Typical High $60.26 | Professional | 78 · Unplanned return to OR | $44.67 | $52.48 | $60.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $22.91 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $9.12 | $14.79 | $14.79 |
Where Idaho sits
The same service costs 11.5 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· 7th of 51
$74.13
VT $339FL $29.51
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.