How much rates vary
Facilitymedian $110 · 10th to 90th $65 to $240Professionalmedian $162 · 10th to 90th $47 to $195
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 $93.33 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $93.33 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $61.66 | $104.71 | $104.71 |
BCBS Idaho Setting Facility Modifier None Typical Low $72.44 Median $104.71 Typical High $691.83 | Facility | None | $72.44 | $104.71 | $691.83 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $169.82 | Professional | None (both parts) | $46.77 | $54.95 | $169.82 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $63.10 | Professional | 26 · Professional part | $46.77 | $54.95 | $63.10 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $100.00 | $123.03 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $45.71 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $95.50 | Professional | TC · Technical part | $63.10 | $79.43 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $371.54 | Professional | None | $331.13 | $331.13 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $165.96 Typical High $239.88 | Facility | None | $100.00 | $165.96 | $239.88 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $95.50 | $165.96 | $165.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $61.66 | $104.71 | $104.71 |
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 $125.89 Median $165.96 Typical High $165.96 | Facility | None | $125.89 | $165.96 | $165.96 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $165.96 | $165.96 | $194.98 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $138.04 | $169.82 | $169.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $58.88 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $89.13 | $109.65 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $64.57 Typical High $91.20 | Facility | None | $56.23 | $64.57 | $91.20 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $7,585.78 Typical High $8,511.38 | Professional | None (both parts) | $5,011.87 | $7,585.78 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $151.36 | $177.83 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $33.11 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $144.54 | $263.03 |
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 $104.71 Median $104.71 Typical High $104.71 | Facility | FX · Film X-ray | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $48.98 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $19.50 | $33.11 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $81.28 | $131.83 | $131.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $33.11 Median $37.15 Typical High $38.90 | Professional | 78 · Unplanned return to OR | $33.11 | $37.15 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $50.12 | $83.18 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $19.95 | $33.11 | $33.11 |
Where Idaho sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 21st of 51
$155
AK $331TX $75.86
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.