How much rates vary
Facilitymedian $708 · 10th to 90th $40 to $1,318Professionalmedian $76 · 10th to 90th $34 to $93
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 $60.26 Median $60.26 Typical High $60.26 | Facility | TC · Technical part | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $83.18 Typical High $85.11 | Professional | None (both parts) | $48.98 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $31.62 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $31.62 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $50.12 Typical High $53.70 | Professional | TC · Technical part | $31.62 | $50.12 | $53.70 |
BCBS Idaho Setting Facility Modifier None Typical Low $56.23 Median $707.95 Typical High $1,318.26 | Facility | None | $56.23 | $707.95 | $1,318.26 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $87.10 | Professional | None (both parts) | $67.61 | $79.43 | $87.10 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $29.51 | $33.11 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $50.12 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,230.27 Typical High $2,089.30 | Facility | None | $501.19 | $1,230.27 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $63.10 Typical High $74.13 | Professional | None (both parts) | $50.12 | $63.10 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $17.78 | $22.91 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $45.71 | Professional | TC · Technical part | $30.90 | $38.90 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | None | $186.21 | $186.21 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $83.18 Typical High $1,071.52 | Facility | None | $48.98 | $83.18 | $1,071.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $83.18 Typical High $100.00 | Professional | None (both parts) | $47.86 | $83.18 | $100.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $15.85 | $31.62 | $36.31 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $41.69 | $50.12 | $57.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $19.95 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $28.84 Median $41.69 Typical High $87.10 | Facility | None | $28.84 | $41.69 | $87.10 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $28.84 Median $48.98 Typical High $102.33 | Professional | None (both parts) | $28.84 | $48.98 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,348.96 | Facility | None | $660.69 | $1,000.00 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $69.18 | $85.11 | $100.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $30.90 | $37.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $61.66 | Professional | TC · Technical part | $43.65 | $53.70 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $39.81 Typical High $323.59 | Facility | None | $38.90 | $39.81 | $323.59 |
Select Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $56.23 Typical High $83.18 | Professional | None (both parts) | $38.90 | $56.23 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $87.10 | Professional | None (both parts) | $40.74 | $51.29 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $31.62 | Professional | 26 · Professional part | $15.49 | $16.98 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $36.31 | $60.26 |
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 $23.99 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $23.99 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $9.77 | $16.60 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $45.71 | $66.07 | $66.07 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $47.86 Median $56.23 Typical High $66.07 | Professional | 78 · Unplanned return to OR | $47.86 | $56.23 | $66.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $23.99 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $9.77 | $16.60 | $16.60 |
Where Idaho sits
The same service costs 3.8 times more in Alaska than in New York. 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· 6th of 51
$79.43
AK $115NY $30.20
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.