How much rates vary
Facilitymedian $39 · 10th to 90th $23 to $85Professionalmedian $55 · 10th to 90th $19 to $62
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 TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | TC · Technical part | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $34.67 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $11.48 | $21.38 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $23.44 | $36.31 | $36.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $22.39 Median $36.31 Typical High $251.19 | Facility | None | $22.39 | $36.31 | $251.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $15.85 Median $18.62 Typical High $56.23 | Professional | None (both parts) | $15.85 | $18.62 | $56.23 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $21.38 | Professional | 26 · Professional part | $15.85 | $18.62 | $21.38 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $51.29 | Professional | None (both parts) | $33.11 | $40.74 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.49 Typical High $19.05 | Professional | 26 · Professional part | $12.02 | $15.49 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $31.62 | Professional | TC · Technical part | $20.89 | $27.54 | $31.62 |
Hally Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | None | $109.65 | $109.65 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $34.67 Median $57.54 Typical High $81.28 | Facility | None | $34.67 | $57.54 | $81.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $34.67 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $13.80 | $21.38 | $21.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $23.44 | $36.31 | $36.31 |
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 $41.69 Median $54.95 Typical High $54.95 | Facility | None | $41.69 | $54.95 | $54.95 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $54.95 | $54.95 | $64.57 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $57.54 | Professional | None (both parts) | $47.86 | $56.23 | $57.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $25.12 | Professional | 26 · Professional part | $16.60 | $19.95 | $25.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $30.90 | $37.15 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $19.95 Median $23.44 Typical High $32.36 | Facility | None | $19.95 | $23.44 | $32.36 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $7,585.78 Typical High $8,511.38 | Professional | None (both parts) | $5,011.87 | $7,585.78 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $44.67 | $57.54 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $10.72 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $46.77 Typical High $83.18 | Professional | TC · Technical part | $35.48 | $46.77 | $83.18 |
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 $17.38 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $17.38 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $6.92 | $11.48 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $45.71 Typical High $45.71 | Professional | FX · Film X-ray | $27.54 | $45.71 | $45.71 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $10.96 Median $12.30 Typical High $12.88 | Professional | 78 · Unplanned return to OR | $10.96 | $12.30 | $12.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $17.38 | $28.84 | $28.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $6.92 | $11.48 | $11.48 |
Where Idaho sits
The same service costs 4.7 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· 16th of 51
$51.29
AK $110FL $23.44
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.