How much rates vary
Facilitymedian $3,981 · 10th to 90th $525 to $10,965Professionalmedian $525 · 10th to 90th $89 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 $3,019.95 Median $5,623.41 Typical High $5,623.41 | Professional | None (both parts) | $3,019.95 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,951.21 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $2,951.21 | $5,623.41 | $5,623.41 |
BCBS Idaho Setting Facility Modifier None Typical Low $831.76 Median $3,019.95 Typical High $10,964.78 | Facility | None | $831.76 | $3,019.95 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $5,128.61 | Professional | None (both parts) | $85.11 | $100.00 | $5,128.61 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $107.15 | Professional | 26 · Professional part | $85.11 | $100.00 | $107.15 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $8,128.31 | Professional | TC · Technical part | $426.58 | $426.58 | $8,128.31 |
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 $309.03 Median $380.19 Typical High $467.74 | Professional | None (both parts) | $309.03 | $380.19 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $83.18 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $354.81 | Professional | TC · Technical part | $245.47 | $316.23 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | None | $457.09 | $457.09 | $501.19 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $5,623.41 Typical High $7,943.28 | Facility | None | $331.13 | $5,623.41 | $7,943.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $5,623.41 Typical High $5,623.41 | Professional | None (both parts) | $3,019.95 | $5,623.41 | $5,623.41 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $3,162.28 | $5,623.41 | $5,623.41 |
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 $89.13 Median $89.13 Typical High $524.81 | Facility | None | $89.13 | $89.13 | $524.81 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $89.13 Median $288.40 Typical High $616.60 | Professional | None (both parts) | $89.13 | $288.40 | $616.60 |
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 $87.10 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $107.15 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $346.74 | $426.58 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $4,265.80 | Facility | None | $3,019.95 | $3,090.30 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $4,168.69 Typical High $8,511.38 | Professional | None (both parts) | $3,019.95 | $4,168.69 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $2,818.38 Typical High $4,570.88 | Professional | None (both parts) | $331.13 | $2,818.38 | $4,570.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $60.26 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $2,754.23 Typical High $4,466.84 | Professional | TC · Technical part | $269.15 | $2,754.23 | $4,466.84 |
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 $707.95 Median $1,122.02 Typical High $1,122.02 | Professional | 53 · Discontinued | $707.95 | $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 $60.26 Median $70.79 Typical High $5,128.61 | Professional | 78 · Unplanned return to OR | $60.26 | $70.79 | $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 $707.95 Median $1,122.02 Typical High $1,122.02 | Professional | 53 · Discontinued | $707.95 | $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· 32nd of 51
$525
CO $3,890NJ $257
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.