How much rates vary
Facilitymedian $851 · 10th to 90th $155 to $1,318Professionalmedian $240 · 10th to 90th $50 to $275
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 $114.82 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $114.82 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $87.10 | $213.80 | $213.80 |
BCBS Idaho Setting Facility Modifier None Typical Low $275.42 Median $912.01 Typical High $1,318.26 | Facility | None | $275.42 | $912.01 | $1,318.26 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $213.80 | $251.19 | $269.15 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $58.88 | Professional | 26 · Professional part | $46.77 | $54.95 | $58.88 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $213.80 | Professional | TC · Technical part | $169.82 | $199.53 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,230.27 Typical High $2,089.30 | Facility | None | $501.19 | $1,230.27 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $141.25 | $194.98 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $41.69 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $177.83 | Professional | TC · Technical part | $109.65 | $147.91 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | None | $208.93 | $208.93 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $269.15 Typical High $380.19 | Facility | None | $123.03 | $269.15 | $380.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $194.98 | $269.15 | $309.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $134.90 | $213.80 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $33.11 | $33.11 | $74.13 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $42.66 Median $154.88 Typical High $275.42 | Facility | None | $42.66 | $154.88 | $275.42 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $42.66 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $42.66 | $154.88 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,348.96 | Facility | None | $707.95 | $1,047.13 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $208.93 | $263.03 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $54.95 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $245.47 | Professional | TC · Technical part | $162.18 | $208.93 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $125.89 Typical High $575.44 | Facility | None | $123.03 | $125.89 | $575.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $223.87 | Professional | None (both parts) | $123.03 | $177.83 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $104.71 | $138.04 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $31.62 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $79.43 | $104.71 | $186.21 |
7 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 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $74.13 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $30.20 | $53.70 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $134.90 | $213.80 | $213.80 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $177.83 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $151.36 | $177.83 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $83.18 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $33.11 | $53.70 | $53.70 |
Where Idaho sits
The same service costs 3.9 times more in Alaska than in New York. 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· 5th of 51
$251
AK $380NY $97.72
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.