How much rates vary
Facilitymedian $3,311 · 10th to 90th $513 to $10,965Professionalmedian $479 · 10th to 90th $72 to $5,623
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 $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | TC · Technical part | $6,760.83 | $6,760.83 | $6,760.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $5,623.41 Typical High $5,623.41 | Professional | None (both parts) | $1,659.59 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $81.28 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $1,621.81 | $5,623.41 | $5,623.41 |
BCBS Idaho Setting Facility Modifier None Typical Low $831.76 Median $2,398.83 Typical High $10,964.78 | Facility | None | $831.76 | $2,398.83 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $5,128.61 | Professional | None (both parts) | $223.87 | $263.03 | $5,128.61 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $77.62 | Professional | 26 · Professional part | $63.10 | $74.13 | $77.62 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $5,128.61 | Professional | TC · Technical part | $194.98 | $229.09 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $9,549.93 Typical High $17,378.01 | Facility | None | $3,890.45 | $9,549.93 | $17,378.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $457.09 | Professional | None (both parts) | $288.40 | $371.54 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $60.26 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $371.54 | Professional | TC · Technical part | $245.47 | $316.23 | $371.54 |
Hally Health Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $912.01 | Professional | None | $812.83 | $812.83 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $5,623.41 Typical High $7,943.28 | Facility | None | $309.03 | $5,623.41 | $7,943.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $5,623.41 Typical High $5,623.41 | Professional | None (both parts) | $346.74 | $5,623.41 | $5,623.41 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $1,288.25 | $5,623.41 | $5,623.41 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | None (both parts) | $33.11 | $33.11 | $36.31 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $512.86 | Facility | None | $61.66 | $61.66 | $512.86 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $61.66 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $61.66 | $281.84 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,818.38 Median $7,585.78 Typical High $11,220.18 | Facility | None | $2,818.38 | $7,585.78 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $426.58 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $426.58 | $524.81 | $524.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $77.62 | $97.72 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $363.08 | $446.68 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $1,995.26 | Facility | None | $263.03 | $263.03 | $1,995.26 |
Select Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $263.03 Typical High $5,754.40 | Professional | None (both parts) | $72.44 | $263.03 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $1,659.59 Typical High $2,818.38 | Professional | None (both parts) | $281.84 | $1,659.59 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $43.65 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $1,621.81 Typical High $2,754.23 | Professional | TC · Technical part | $245.47 | $1,621.81 | $2,754.23 |
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 $1,737.80 Median $2,818.38 Typical High $2,818.38 | Professional | 52 · Reduced service | $1,737.80 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $1,122.02 Typical High $1,122.02 | Professional | 53 · Discontinued | $691.83 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,818.38 Median $4,466.84 Typical High $4,466.84 | Professional | FX · Film X-ray | $2,818.38 | $4,466.84 | $4,466.84 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $186.21 Typical High $5,128.61 | Professional | 78 · Unplanned return to OR | $158.49 | $186.21 | $5,128.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $2,818.38 Typical High $2,818.38 | Professional | 52 · Reduced service | $1,737.80 | $2,818.38 | $2,818.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $1,122.02 Typical High $1,122.02 | Professional | 53 · Discontinued | $691.83 | $1,122.02 | $1,122.02 |
Where Idaho sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 31st of 51
$525
CO $3,715NJ $245
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.