How much rates vary
Facilitymedian $141 · 10th to 90th $83 to $324Professionalmedian $195 · 10th to 90th $112 to $269
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 $144.54 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $144.54 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $77.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $107.15 | $186.21 | $186.21 |
BCBS Idaho Setting Facility Modifier None Typical Low $91.20 Median $141.25 Typical High $338.84 | Facility | None | $91.20 | $141.25 | $338.84 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $269.15 | Professional | None (both parts) | $112.20 | $131.83 | $269.15 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $58.88 | $69.18 | $79.43 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $97.72 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $218.78 | Professional | None (both parts) | $147.91 | $190.55 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $53.70 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $107.15 | $134.90 | $154.88 |
Moda Health Setting Facility Modifier None Typical Low $33.88 Median $263.03 Typical High $380.19 | Facility | None | $33.88 | $263.03 | $380.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $162.18 | $263.03 | $263.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $123.03 | $186.21 | $186.21 |
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 $204.17 Median $269.15 Typical High $269.15 | Facility | None | $204.17 | $269.15 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $269.15 | $269.15 | $316.23 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $229.09 | $269.15 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $61.66 | $74.13 | $91.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $169.82 | $199.53 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $117.49 Typical High $131.83 | Facility | None | $70.79 | $117.49 | $131.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $112.20 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $144.54 | $154.88 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $39.81 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $104.71 | $114.82 | $199.53 |
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 $186.21 Median $186.21 Typical High $186.21 | Facility | FX · Film X-ray | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $72.44 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $28.84 | $52.48 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $128.82 | $213.80 | $213.80 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $87.10 Typical High $93.33 | Professional | 78 · Unplanned return to OR | $79.43 | $87.10 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $81.28 | $131.83 | $131.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $32.36 | $52.48 | $52.48 |
Where Idaho sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 10th of 51
$191
AK $389DC $87.10
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.