How much rates vary
Facilitymedian $661 · 10th to 90th $151 to $891Professionalmedian $151 · 10th to 90th $48 to $468
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 $537.03 Median $537.03 Typical High $537.03 | Facility | TC · Technical part | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $288.40 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $281.84 | $446.68 | $446.68 |
BCBS Idaho Setting Facility Modifier None Typical Low $363.08 Median $707.95 Typical High $912.01 | Facility | None | $363.08 | $707.95 | $912.01 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $208.93 | Professional | None (both parts) | $70.79 | $83.18 | $208.93 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $64.57 | Professional | 26 · Professional part | $47.86 | $56.23 | $64.57 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $109.65 | Professional | TC · Technical part | $46.77 | $54.95 | $109.65 |
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 $93.33 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $93.33 | $117.49 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $56.23 | Professional | 26 · Professional part | $35.48 | $45.71 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $89.13 | Professional | TC · Technical part | $58.88 | $75.86 | $89.13 |
Hally Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | None | $257.04 | $257.04 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $467.74 Typical High $660.69 | Facility | None | $100.00 | $467.74 | $660.69 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $107.15 | $467.74 | $467.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $63.10 | $63.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $281.84 | $446.68 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $33.11 | $33.11 | $47.86 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $165.96 | Facility | None | $46.77 | $46.77 | $165.96 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $194.98 | Professional | None (both parts) | $46.77 | $54.95 | $194.98 |
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 $134.90 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $134.90 | $165.96 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $60.26 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $87.10 | $107.15 | $107.15 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $1,047.13 | Facility | None | $83.18 | $83.18 | $1,047.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $83.18 Typical High $501.19 | Professional | None (both parts) | $47.86 | $83.18 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $97.72 | $263.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $33.11 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $66.07 | $234.42 | $426.58 |
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 $144.54 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $144.54 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $58.88 | $93.33 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $371.54 Typical High $371.54 | Professional | FX · Film X-ray | $234.42 | $371.54 | $371.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $48.98 Median $57.54 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $48.98 | $57.54 | $407.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $144.54 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $58.88 | $93.33 | $93.33 |
Where Idaho sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 32nd of 51
$166
NE $389HI $66.07
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.