How much rates vary
Facilitymedian $166 · 10th to 90th $120 to $589Professionalmedian $204 · 10th to 90th $72 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 $125.89 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $125.89 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $89.13 | $89.13 |
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 $114.82 Median $151.36 Typical High $602.56 | Facility | None | $114.82 | $151.36 | $602.56 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $239.88 | Professional | None (both parts) | $64.57 | $75.86 | $239.88 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $89.13 | Professional | 26 · Professional part | $64.57 | $75.86 | $89.13 |
BCBS Idaho 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 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $144.54 | $165.96 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $61.66 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $91.20 | $104.71 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $36.31 Median $234.42 Typical High $338.84 | Facility | None | $36.31 | $234.42 | $338.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $141.25 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $89.13 | $89.13 |
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 $173.78 Median $223.87 Typical High $223.87 | Facility | None | $173.78 | $223.87 | $223.87 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $223.87 | $223.87 | $269.15 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $204.17 | $239.88 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $83.18 | $104.71 |
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 $426.58 Median $489.78 Typical High $691.83 | Facility | None | $426.58 | $489.78 | $691.83 |
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 $208.93 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $208.93 | $281.84 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $44.67 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $173.78 | $234.42 | $380.19 |
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 $63.10 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $63.10 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $25.12 | $46.77 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $114.82 | $186.21 | $186.21 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $44.67 Median $50.12 Typical High $52.48 | Professional | 78 · Unplanned return to OR | $44.67 | $50.12 | $52.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $70.79 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $28.18 | $46.77 | $46.77 |
Where Idaho sits
The same service costs 5.2 times more in North Dakota 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· 20th of 51
$204
ND $457FL $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.