How much rates vary
Facilitymedian $245 · 10th to 90th $55 to $389Professionalmedian $89 · 10th to 90th $37 to $110
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 $74.13 Median $114.82 Typical High $120.23 | Facility | None | $74.13 | $114.82 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $48.98 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $32.36 Typical High $37.15 | Professional | 26 · Professional part | $14.79 | $32.36 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $69.18 Typical High $77.62 | Professional | TC · Technical part | $33.88 | $69.18 | $77.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $83.18 Median $269.15 Typical High $380.19 | Facility | None | $83.18 | $269.15 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $107.15 | Professional | None (both parts) | $81.28 | $95.50 | $107.15 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $29.51 | $33.11 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $72.44 | Professional | TC · Technical part | $54.95 | $64.57 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $602.56 | Facility | None | $147.91 | $371.54 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $87.10 | Professional | None (both parts) | $54.95 | $70.79 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $28.84 | Professional | 26 · Professional part | $17.78 | $23.44 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $57.54 | Professional | TC · Technical part | $36.31 | $46.77 | $57.54 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | None | $138.04 | $138.04 | $154.88 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $144.54 Typical High $501.19 | Facility | None | $75.86 | $144.54 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $53.70 | $100.00 | $120.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $30.20 Typical High $37.15 | Professional | 26 · Professional part | $15.49 | $30.20 | $37.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $69.18 Typical High $75.86 | Professional | TC · Technical part | $37.15 | $69.18 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $26.30 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $25.12 Median $54.95 Typical High $102.33 | Facility | None | $25.12 | $54.95 | $102.33 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $25.12 Median $57.54 Typical High $120.23 | Professional | None (both parts) | $25.12 | $57.54 | $120.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $389.05 | Facility | None | $213.80 | $302.00 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $83.18 | $102.33 | $120.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $30.90 | $38.02 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $72.44 | $81.28 |
Select Health Setting Facility Modifier None Typical Low $45.71 Median $46.77 Typical High $309.03 | Facility | None | $45.71 | $46.77 | $309.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $66.07 Typical High $89.13 | Professional | None (both parts) | $45.71 | $66.07 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $97.72 | Professional | None (both parts) | $46.77 | $51.29 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $16.98 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $31.62 | $34.67 | $64.57 |
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 $28.84 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $28.84 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $11.48 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $47.86 | $81.28 | $81.28 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $56.23 Median $66.07 Typical High $79.43 | Professional | 78 · Unplanned return to OR | $56.23 | $66.07 | $79.43 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $29.51 | $50.12 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $12.02 | $19.95 | $19.95 |
Where Idaho sits
The same service costs 4.5 times more in Alaska 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· 6th of 51
$95.50
AK $148UT $33.11
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.