How much rates vary
Facilitymedian $186 · 10th to 90th $41 to $309Professionalmedian $59 · 10th to 90th $30 to $78
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 $50.12 Median $81.28 Typical High $144.54 | Facility | None | $50.12 | $81.28 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $67.61 Typical High $77.62 | Professional | None (both parts) | $31.62 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $16.98 Typical High $19.50 | Professional | 26 · Professional part | $8.51 | $16.98 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $51.29 Typical High $58.88 | Professional | TC · Technical part | $22.39 | $51.29 | $58.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $70.79 Median $208.93 Typical High $309.03 | Facility | None | $70.79 | $208.93 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $72.44 | Professional | None (both parts) | $56.23 | $66.07 | $72.44 |
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 $42.66 Median $50.12 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $50.12 | $54.95 |
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 $37.15 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $37.15 | $48.98 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $15.14 | Professional | 26 · Professional part | $9.77 | $12.59 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $43.65 | Professional | TC · Technical part | $27.54 | $35.48 | $43.65 |
Hally Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | None | $95.50 | $95.50 | $112.20 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $208.93 Typical High $316.23 | Facility | None | $58.88 | $208.93 | $316.23 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $275.42 Typical High $549.54 | Facility | TC · Technical part | $58.88 | $275.42 | $549.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $60.26 Typical High $81.28 | Professional | None (both parts) | $30.20 | $60.26 | $81.28 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $16.98 Typical High $25.12 | Professional | 26 · Professional part | $8.51 | $16.98 | $25.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $51.29 Typical High $58.88 | Professional | TC · Technical part | $23.99 | $51.29 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $19.50 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $13.49 Median $40.74 Typical High $70.79 | Facility | None | $13.49 | $40.74 | $70.79 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $13.49 Median $40.74 Typical High $83.18 | Professional | None (both parts) | $13.49 | $40.74 | $83.18 |
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 $56.23 Median $70.79 Typical High $81.28 | Professional | None (both parts) | $56.23 | $70.79 | $81.28 |
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 $43.65 Median $53.70 Typical High $61.66 | Professional | TC · Technical part | $43.65 | $53.70 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $31.62 Median $32.36 Typical High $218.78 | Facility | None | $31.62 | $32.36 | $218.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $31.62 | $45.71 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $30.90 | $35.48 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.55 Typical High $17.78 | Professional | 26 · Professional part | $8.71 | $9.55 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $22.39 | $26.30 | $47.86 |
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 $19.50 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $19.50 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $7.94 | $13.80 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $54.95 Typical High $54.95 | Professional | FX · Film X-ray | $33.11 | $54.95 | $54.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $38.90 Median $45.71 Typical High $53.70 | Professional | 78 · Unplanned return to OR | $38.90 | $45.71 | $53.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $20.42 | $33.88 | $33.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $8.32 | $13.80 | $13.80 |
Where Idaho sits
The same service costs 12.9 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· 6th of 51
$66.07
VT $347FL $26.92
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.