How much rates vary
Facilitymedian $832 · 10th to 90th $309 to $1,950Professionalmedian $427 · 10th to 90th $148 to $646
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 $309.03 Median $758.58 Typical High $1,230.27 | Facility | None | $309.03 | $758.58 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $645.65 Typical High $724.44 | Professional | None (both parts) | $269.15 | $645.65 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $204.17 Typical High $234.42 | Professional | 26 · Professional part | $72.44 | $204.17 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $436.52 Typical High $489.78 | Professional | TC · Technical part | $194.98 | $436.52 | $489.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $446.68 Median $933.25 Typical High $1,737.80 | Facility | None | $446.68 | $933.25 | $1,737.80 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $331.13 | $398.11 | $467.74 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $151.36 | Professional | 26 · Professional part | $104.71 | $123.03 | $151.36 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $316.23 | Professional | TC · Technical part | $229.09 | $269.15 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $776.25 | Facility | None | $316.23 | $645.65 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $537.03 | Professional | None (both parts) | $173.78 | $173.78 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $53.70 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $416.87 | Professional | TC · Technical part | $120.23 | $120.23 | $416.87 |
Hally Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,041.74 | Professional | None | $1,445.44 | $1,445.44 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $1,348.96 Typical High $2,187.76 | Facility | None | $309.03 | $1,348.96 | $2,187.76 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $912.01 Typical High $2,290.87 | Facility | TC · Technical part | $436.52 | $912.01 | $2,290.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $524.81 Typical High $954.99 | Professional | None (both parts) | $269.15 | $524.81 | $954.99 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $154.88 Typical High $234.42 | Professional | 26 · Professional part | $91.20 | $154.88 | $234.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $489.78 | Professional | TC · Technical part | $234.42 | $436.52 | $489.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $128.82 | Professional | None (both parts) | $33.11 | $33.11 | $128.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $426.58 | Facility | None | $102.33 | $102.33 | $426.58 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $102.33 Median $398.11 Typical High $501.19 | Professional | None (both parts) | $102.33 | $398.11 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $891.25 | Facility | None | $446.68 | $691.83 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $346.74 | $426.58 | $501.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $107.15 | $131.83 | $162.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $346.74 | Professional | TC · Technical part | $239.88 | $295.12 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $1,148.15 | Facility | None | $190.55 | $194.98 | $1,148.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $190.55 | $275.42 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $741.31 | Professional | None (both parts) | $199.53 | $371.54 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $138.04 | $251.19 | $575.44 |
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 $141.25 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $141.25 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $56.23 | $128.82 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $512.86 Typical High $512.86 | Professional | FX · Film X-ray | $478.63 | $512.86 | $512.86 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $275.42 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $234.42 | $275.42 | $371.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $186.21 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $75.86 | $128.82 | $128.82 |
Where Idaho sits
The same service costs 13.5 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· 19th of 51
$427
VT $2,089UT $155
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.