How much rates vary
Facilitymedian $7,586 · 10th to 90th $148 to $19,055Professionalmedian $224 · 10th to 90th $138 to $288
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 $144.54 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $144.54 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $134.90 | $177.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $676.08 Median $7,585.78 Typical High $19,054.61 | Facility | None | $676.08 | $7,585.78 | $19,054.61 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $194.98 | $234.42 | $275.42 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $107.15 | Professional | 26 · Professional part | $85.11 | $102.33 | $107.15 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $131.83 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $16,218.10 Typical High $30,199.52 | Facility | None | $6,456.54 | $16,218.10 | $30,199.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $158.49 | $199.53 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $81.28 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $87.10 | $109.65 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $630.96 | Professional | None | $575.44 | $575.44 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $602.56 | Facility | None | $147.91 | $245.47 | $602.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $199.53 | $245.47 | $288.40 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $104.71 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $104.71 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $102.33 | $134.90 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $33.11 | $33.11 | $51.29 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $251.19 | Facility | None | $107.15 | $147.91 | $251.19 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $147.91 | $208.93 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,943.28 Median $13,182.57 Typical High $19,054.61 | Facility | None | $7,943.28 | $13,182.57 | $19,054.61 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $199.53 | $245.47 | $288.40 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $128.82 | Professional | 26 · Professional part | $87.10 | $107.15 | $128.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $158.49 | Professional | TC · Technical part | $112.20 | $141.25 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $114.82 Typical High $741.31 | Facility | None | $112.20 | $114.82 | $741.31 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $112.20 | $162.18 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $131.83 | $186.21 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $58.88 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $75.86 | $123.03 | $239.88 |
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 $138.04 Median $138.04 Typical High $138.04 | Facility | FX · Film X-ray | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $74.13 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $29.51 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $141.25 | $194.98 | $194.98 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $154.88 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $138.04 | $154.88 | $190.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $74.13 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $29.51 | $48.98 | $48.98 |
Where Idaho sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 13th of 51
$234
AK $372UT $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.