How much rates vary
Facilitymedian $135 · 10th to 90th $95 to $234Professionalmedian $129 · 10th to 90th $46 to $170
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 $123.03 Median $123.03 Typical High $154.88 | Facility | None | $123.03 | $123.03 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $91.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $60.26 | $81.28 | $81.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $93.33 Median $128.82 Typical High $234.42 | Facility | None | $93.33 | $128.82 | $234.42 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $40.74 Median $47.86 Typical High $134.90 | Professional | None (both parts) | $40.74 | $47.86 | $134.90 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $46.77 | $51.29 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $74.13 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $97.72 | $112.20 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $41.69 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $70.79 Typical High $83.18 | Professional | TC · Technical part | $61.66 | $70.79 | $83.18 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $128.82 Typical High $186.21 | Facility | None | $23.44 | $128.82 | $186.21 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $95.50 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $31.62 | $48.98 | $48.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $63.10 | $81.28 | $81.28 |
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 $109.65 Median $144.54 Typical High $144.54 | Facility | None | $109.65 | $144.54 | $144.54 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $144.54 | $144.54 | $169.82 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $114.82 | $134.90 | $134.90 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $39.81 | $46.77 | $57.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $89.13 | Professional | TC · Technical part | $74.13 | $87.10 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $186.21 Typical High $257.04 | Facility | None | $158.49 | $186.21 | $257.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None (both parts) | $8,511.38 | $8,511.38 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $165.96 | $173.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $36.31 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $229.09 | Professional | TC · Technical part | $134.90 | $138.04 | $229.09 |
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 $47.86 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $47.86 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $19.05 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $75.86 | $104.71 | $104.71 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $28.84 Median $32.36 Typical High $33.88 | Professional | 78 · Unplanned return to OR | $28.84 | $32.36 | $33.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $47.86 | $64.57 | $64.57 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $19.05 | $25.70 | $25.70 |
Where Idaho sits
The same service costs 6.6 times more in Nebraska 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· 22nd of 51
$129
NE $363FL $54.95
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.