How much rates vary
Facilitymedian $562 · 10th to 90th $95 to $851Professionalmedian $182 · 10th to 90th $35 to $209
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 $194.98 Median $194.98 Typical High $194.98 | Facility | TC · Technical part | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $109.65 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $91.20 | $162.18 | $162.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $269.15 Median $588.84 Typical High $831.76 | Facility | None | $269.15 | $588.84 | $831.76 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $162.18 | $194.98 | $218.78 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $38.90 | Professional | 26 · Professional part | $30.90 | $35.48 | $38.90 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $165.96 | Professional | TC · Technical part | $131.83 | $158.49 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,348.96 | Facility | None | $316.23 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $107.15 | $138.04 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $33.11 | Professional | 26 · Professional part | $20.89 | $27.54 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $112.20 | $134.90 |
Hally Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $295.12 | Professional | None | $269.15 | $269.15 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $199.53 Typical High $281.84 | Facility | None | $70.79 | $199.53 | $281.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $138.04 | $199.53 | $234.42 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $100.00 | $162.18 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $33.11 | $33.11 | $58.88 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $208.93 | Facility | None | $28.84 | $28.84 | $208.93 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $28.84 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $28.84 | $204.17 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $660.69 Typical High $891.25 | Facility | None | $446.68 | $660.69 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $158.49 | $199.53 | $234.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $35.48 | $44.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $190.55 | Professional | TC · Technical part | $128.82 | $165.96 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $95.50 Typical High $524.81 | Facility | None | $93.33 | $95.50 | $524.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $93.33 | $134.90 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $81.28 | $97.72 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.95 Typical High $37.15 | Professional | 26 · Professional part | $18.62 | $19.95 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $79.43 | $141.25 |
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 $54.95 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $54.95 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $21.88 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $95.50 | $158.49 | $158.49 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $134.90 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $114.82 | $134.90 | $151.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $60.26 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $23.99 | $39.81 | $39.81 |
Where Idaho sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 4th of 51
$195
AK $282KY $74.13
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.