How much rates vary
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 $69.18 Median $112.20 Typical High $141.25 | Facility | None | $69.18 | $112.20 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $43.65 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $10.72 | $22.91 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $70.79 Typical High $81.28 | Professional | TC · Technical part | $30.90 | $70.79 | $81.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $74.13 Median $208.93 Typical High $309.03 | Facility | None | $74.13 | $208.93 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $100.00 | Professional | None (both parts) | $79.43 | $93.33 | $100.00 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $23.44 | Professional | 26 · Professional part | $17.78 | $20.89 | $23.44 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $77.62 | Professional | TC · Technical part | $61.66 | $72.44 | $77.62 |
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 $50.12 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $50.12 | $67.61 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.98 Typical High $20.42 | Professional | 26 · Professional part | $12.88 | $16.98 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $38.02 | $50.12 | $58.88 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $169.82 | Professional | None | $138.04 | $138.04 | $169.82 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $245.47 Typical High $489.78 | Facility | None | $83.18 | $245.47 | $489.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $208.93 Typical High $407.38 | Facility | TC · Technical part | $81.28 | $208.93 | $407.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $39.81 | $85.11 | $131.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $21.38 Typical High $33.11 | Professional | 26 · Professional part | $10.23 | $21.38 | $33.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $70.79 Typical High $81.28 | Professional | TC · Technical part | $32.36 | $70.79 | $81.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $28.18 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $16.98 Median $58.88 Typical High $102.33 | Facility | None | $16.98 | $58.88 | $102.33 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $16.98 Median $57.54 Typical High $120.23 | Professional | None (both parts) | $16.98 | $57.54 | $120.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $151.36 Median $229.09 Typical High $316.23 | Facility | None | $151.36 | $229.09 | $316.23 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $79.43 | $97.72 | $112.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $26.92 | Professional | 26 · Professional part | $17.78 | $21.88 | $26.92 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $85.11 | Professional | TC · Technical part | $61.66 | $75.86 | $85.11 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $45.71 Typical High $181.97 | Facility | None | $44.67 | $45.71 | $181.97 |
Select Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $44.67 | $66.07 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $39.81 | $47.86 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.30 Typical High $21.88 | Professional | 26 · Professional part | $10.96 | $12.30 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $64.57 | Professional | TC · Technical part | $28.84 | $36.31 | $64.57 |
2 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 FX · Film X-ray Typical Low $44.67 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $44.67 | $75.86 | $75.86 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $64.57 Typical High $75.86 | Professional | 78 · Unplanned return to OR | $54.95 | $64.57 | $75.86 |
Where Idaho sits
The same service costs 11.7 times more in Vermont than in Utah. 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
$91.20
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.