How much rates vary
Facilitymedian $178 · 10th to 90th $33 to $309Professionalmedian $50 · 10th to 90th $26 to $65
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 $41.69 Median $67.61 Typical High $67.61 | Facility | None | $41.69 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $56.23 Typical High $64.57 | Professional | None (both parts) | $27.54 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $15.85 Typical High $17.78 | Professional | 26 · Professional part | $7.41 | $15.85 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $40.74 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $40.74 | $46.77 |
BCBS Idaho Setting Facility Modifier None Typical Low $47.86 Median $194.98 Typical High $309.03 | Facility | None | $47.86 | $194.98 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $60.26 | Professional | None (both parts) | $46.77 | $54.95 | $60.26 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $16.22 | Professional | 26 · Professional part | $12.88 | $15.14 | $16.22 |
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 $30.90 Median $40.74 Typical High $50.12 | Professional | None (both parts) | $30.90 | $40.74 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $13.80 | Professional | 26 · Professional part | $9.12 | $11.22 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $35.48 | Professional | TC · Technical part | $22.39 | $28.84 | $35.48 |
Hally Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $67.61 | Professional | None | $51.29 | $51.29 | $67.61 |
Moda Health Setting Facility Modifier None Typical Low $43.65 Median $83.18 Typical High $275.42 | Facility | None | $43.65 | $83.18 | $275.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $27.54 | $52.48 | $67.61 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $15.85 Typical High $19.50 | Professional | 26 · Professional part | $7.76 | $15.85 | $19.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $40.74 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $40.74 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.85 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $15.85 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $13.80 Median $33.11 Typical High $60.26 | Facility | None | $13.80 | $33.11 | $60.26 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $13.80 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $13.80 | $33.11 | $70.79 |
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 $46.77 Median $58.88 Typical High $67.61 | Professional | None (both parts) | $46.77 | $58.88 | $67.61 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $18.62 | Professional | 26 · Professional part | $12.30 | $15.14 | $18.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $48.98 | Professional | TC · Technical part | $34.67 | $43.65 | $48.98 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $26.92 Typical High $177.83 | Facility | None | $26.30 | $26.92 | $177.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.90 Typical High $50.12 | Professional | None (both parts) | $26.30 | $38.90 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $29.51 Typical High $56.23 | Professional | None (both parts) | $26.30 | $29.51 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $15.85 | Professional | 26 · Professional part | $7.41 | $8.32 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.38 Typical High $40.74 | Professional | TC · Technical part | $19.05 | $21.38 | $40.74 |
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 $16.60 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $16.60 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $6.61 | $11.22 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $44.67 Typical High $44.67 | Professional | FX · Film X-ray | $27.54 | $44.67 | $44.67 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $32.36 Median $38.02 Typical High $44.67 | Professional | 78 · Unplanned return to OR | $32.36 | $38.02 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $16.98 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $6.76 | $11.22 | $11.22 |
Where Idaho sits
The same service costs 3.7 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
$53.70
AK $83.18FL $22.39
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.