How much rates vary
Facilitymedian $1,585 · 10th to 90th $562 to $2,754Professionalmedian $603 · 10th to 90th $148 to $1,000
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 $501.19 Median $1,202.26 Typical High $1,513.56 | Facility | None | $501.19 | $1,202.26 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,000.00 Typical High $1,023.29 | Professional | None (both parts) | $398.11 | $1,000.00 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $245.47 Typical High $251.19 | Professional | 26 · Professional part | $87.10 | $245.47 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $302.00 | $758.58 | $758.58 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,071.52 Median $1,698.24 Typical High $2,818.38 | Facility | None | $1,071.52 | $1,698.24 | $2,818.38 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $512.86 Median $630.96 Typical High $724.44 | Professional | None (both parts) | $512.86 | $630.96 | $724.44 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $147.91 Typical High $181.97 | Professional | 26 · Professional part | $125.89 | $147.91 | $181.97 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $457.09 Typical High $537.03 | Professional | TC · Technical part | $389.05 | $457.09 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $2,041.74 Typical High $2,398.83 | Facility | None | $977.24 | $2,041.74 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $707.95 | Professional | None (both parts) | $275.42 | $275.42 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $147.91 | Professional | 26 · Professional part | $64.57 | $64.57 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $549.54 | Professional | TC · Technical part | $213.80 | $213.80 | $549.54 |
Hally Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,737.80 | $1,737.80 | $2,344.23 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $1,202.26 Typical High $4,073.80 | Facility | None | $562.34 | $1,202.26 | $4,073.80 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $794.33 Typical High $1,148.15 | Professional | None (both parts) | $478.63 | $794.33 | $1,148.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $158.49 Typical High $245.47 | Professional | 26 · Professional part | $104.71 | $158.49 | $245.47 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $562.34 Typical High $794.33 | Professional | TC · Technical part | $338.84 | $562.34 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $218.78 | Professional | None (both parts) | $33.11 | $33.11 | $218.78 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $660.69 | Facility | None | $125.89 | $125.89 | $660.69 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $125.89 Median $660.69 Typical High $776.25 | Professional | None (both parts) | $125.89 | $660.69 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $2,818.38 | Facility | None | $1,380.38 | $1,905.46 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $524.81 Median $660.69 Typical High $794.33 | Professional | None (both parts) | $524.81 | $660.69 | $794.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $154.88 Typical High $194.98 | Professional | 26 · Professional part | $125.89 | $154.88 | $194.98 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $588.84 | Professional | TC · Technical part | $398.11 | $501.19 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $1,737.80 | Facility | None | $295.12 | $295.12 | $1,737.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $295.12 | $426.58 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $912.01 | Professional | None (both parts) | $316.23 | $426.58 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $89.13 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $741.31 | Professional | TC · Technical part | $245.47 | $363.08 | $741.31 |
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 $218.78 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $218.78 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $87.10 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $812.83 Typical High $812.83 | Professional | FX · Film X-ray | $478.63 | $812.83 | $812.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $426.58 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $363.08 | $426.58 | $501.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $218.78 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $87.10 | $199.53 | $199.53 |
Where Idaho sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 8th of 51
$661
WY $1,259TX $234
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.