How much rates vary
Facilitymedian $1,047 · 10th to 90th $112 to $1,905Professionalmedian $110 · 10th to 90th $37 to $955
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 $588.84 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $588.84 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $588.84 | $933.25 | $933.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $489.78 Median $1,047.13 Typical High $1,905.46 | Facility | None | $489.78 | $1,047.13 | $1,905.46 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $141.25 | Professional | None (both parts) | $58.88 | $69.18 | $141.25 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $47.86 | Professional | 26 · Professional part | $36.31 | $42.66 | $47.86 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $48.98 Typical High $67.61 | Professional | TC · Technical part | $41.69 | $48.98 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,621.81 Typical High $3,019.95 | Facility | None | $660.69 | $1,621.81 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $69.18 | $81.28 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $41.69 | Professional | 26 · Professional part | $26.92 | $33.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $39.81 | $50.12 | $57.54 |
Hally Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $194.98 | Professional | None | $173.78 | $173.78 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $954.99 Typical High $1,348.96 | Facility | None | $85.11 | $954.99 | $1,348.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $91.20 | $954.99 | $954.99 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $46.77 | $46.77 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $524.81 | $933.25 | $933.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $112.20 | Facility | None | $36.31 | $36.31 | $112.20 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $131.83 | Professional | None (both parts) | $36.31 | $42.66 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $851.14 Median $1,318.26 Typical High $1,949.84 | Facility | None | $851.14 | $1,318.26 | $1,949.84 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $91.20 | $112.20 | $112.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $44.67 | $54.95 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $54.95 | $67.61 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $1,288.25 | Facility | None | $69.18 | $69.18 | $1,288.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $69.18 Typical High $1,047.13 | Professional | None (both parts) | $36.31 | $69.18 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $77.62 | $501.19 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $25.12 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $478.63 Typical High $954.99 | Professional | TC · Technical part | $54.95 | $478.63 | $954.99 |
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 FX · Film X-ray Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | FX · Film X-ray | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $295.12 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $120.23 | $190.55 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $758.58 Typical High $758.58 | Professional | FX · Film X-ray | $478.63 | $758.58 | $758.58 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $41.69 Median $48.98 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $41.69 | $48.98 | $891.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $295.12 | $478.63 | $478.63 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $120.23 | $190.55 | $190.55 |
Where Idaho sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 39th of 51
$112
CO $661MI $58.88
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.