How much rates vary
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 $112.20 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $112.20 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $85.11 | $147.91 | $147.91 |
BCBS Idaho Setting Facility Modifier None Typical Low $70.79 Median $95.50 Typical High $269.15 | Facility | None | $70.79 | $95.50 | $269.15 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $104.71 | $123.03 | $204.17 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $41.69 | $48.98 | $54.95 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $83.18 | $97.72 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $114.82 | $141.25 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $30.20 | $38.02 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $123.03 | Professional | TC · Technical part | $89.13 | $107.15 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $23.99 Median $204.17 Typical High $288.40 | Facility | None | $23.99 | $204.17 | $288.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $125.89 | $204.17 | $204.17 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $54.95 | $54.95 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $95.50 | $147.91 | $147.91 |
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 $154.88 Median $204.17 Typical High $204.17 | Facility | None | $154.88 | $204.17 | $204.17 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $204.17 | $204.17 | $239.88 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $173.78 | $204.17 | $204.17 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $43.65 | $51.29 | $64.57 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $131.83 | $154.88 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $28.18 Median $123.03 Typical High $138.04 | Facility | None | $28.18 | $123.03 | $138.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $104.71 | $123.03 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $131.83 | $141.25 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $27.54 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $107.15 | $114.82 | $181.97 |
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 $147.91 Median $147.91 Typical High $147.91 | Facility | FX · Film X-ray | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $54.95 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $21.88 | $40.74 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $100.00 | $162.18 | $162.18 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $81.28 Typical High $85.11 | Professional | 78 · Unplanned return to OR | $72.44 | $81.28 | $85.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $63.10 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $25.12 | $40.74 | $40.74 |
Where Idaho sits
The same service costs 4.0 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· 12th of 51
$158
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.