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 Professional Modifier None (both parts) Typical Low $28.84 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $28.84 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $20.42 | $41.69 | $41.69 |
BCBS Idaho Setting Facility Modifier None Typical Low $33.88 Median $194.98 Typical High $309.03 | Facility | None | $33.88 | $194.98 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $61.66 | Professional | None (both parts) | $47.86 | $56.23 | $61.66 |
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 $33.88 Median $39.81 Typical High $44.67 | Professional | TC · Technical part | $33.88 | $39.81 | $44.67 |
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 $32.36 Median $41.69 Typical High $51.29 | Professional | None (both parts) | $32.36 | $41.69 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.59 Typical High $15.14 | Professional | 26 · Professional part | $9.55 | $12.59 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $35.48 | Professional | TC · Technical part | $22.39 | $30.20 | $35.48 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $102.33 | Professional | None | $61.66 | $61.66 | $102.33 |
Moda Health Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $83.18 | Facility | None | $35.48 | $58.88 | $83.18 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $58.88 Typical High $70.79 | Professional | None (both parts) | $29.51 | $58.88 | $70.79 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $16.98 Typical High $37.15 | Professional | 26 · Professional part | $8.51 | $16.98 | $37.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $41.69 Typical High $42.66 | Professional | TC · Technical part | $20.89 | $41.69 | $42.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.22 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $16.22 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $13.80 Median $33.88 Typical High $61.66 | Facility | None | $13.80 | $33.88 | $61.66 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $13.80 Median $33.88 Typical High $72.44 | Professional | None (both parts) | $13.80 | $33.88 | $72.44 |
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 $48.98 Median $60.26 Typical High $70.79 | Professional | None (both parts) | $48.98 | $60.26 | $70.79 |
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 $36.31 Median $43.65 Typical High $50.12 | Professional | TC · Technical part | $36.31 | $43.65 | $50.12 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $27.54 Typical High $181.97 | Facility | None | $26.92 | $27.54 | $181.97 |
Select Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $52.48 | Professional | None (both parts) | $26.92 | $39.81 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $56.23 | Professional | None (both parts) | $26.30 | $30.90 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $9.12 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $18.20 | $21.88 | $39.81 |
3 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 Facility Modifier FX · Film X-ray Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | FX · Film X-ray | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $46.77 Typical High $46.77 | Professional | FX · Film X-ray | $28.18 | $46.77 | $46.77 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $33.11 Median $38.90 Typical High $46.77 | Professional | 78 · Unplanned return to OR | $33.11 | $38.90 | $46.77 |
Where Idaho sits
The same service costs 3.8 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
$56.23
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.