How much rates vary
Facilitymedian $2,570 · 10th to 90th $120 to $10,965Professionalmedian $234 · 10th to 90th $120 to $302
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 $158.49 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $158.49 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $95.50 | $144.54 | $165.96 |
BCBS Idaho Setting Facility Modifier None Typical Low $549.54 Median $2,570.40 Typical High $10,964.78 | Facility | None | $549.54 | $2,570.40 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $208.93 | $245.47 | $288.40 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $107.15 | Professional | 26 · Professional part | $89.13 | $104.71 | $107.15 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $158.49 | Professional | TC · Technical part | $123.03 | $144.54 | $158.49 |
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 $165.96 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $165.96 | $208.93 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $83.18 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $120.23 | $158.49 |
Hally Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | None | $630.96 | $630.96 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $602.56 | Facility | None | $158.49 | $257.04 | $602.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $186.21 | $257.04 | $302.00 |
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 $112.20 Median $144.54 Typical High $177.83 | Professional | TC · Technical part | $112.20 | $144.54 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $33.11 | $33.11 | $54.95 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $114.82 Median $117.49 Typical High $269.15 | Facility | None | $114.82 | $117.49 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $117.49 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $117.49 | $218.78 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,884.03 Median $7,585.78 Typical High $11,220.18 | Facility | None | $2,884.03 | $7,585.78 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $208.93 | $257.04 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $89.13 | $107.15 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $169.82 | Professional | TC · Technical part | $123.03 | $151.36 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $588.84 | Facility | None | $120.23 | $123.03 | $588.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $120.23 | $173.78 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $141.25 | $186.21 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $60.26 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $239.88 | Professional | TC · Technical part | $83.18 | $125.89 | $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 $151.36 Median $151.36 Typical High $151.36 | Facility | FX · Film X-ray | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $79.43 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $31.62 | $51.29 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $204.17 Typical High $204.17 | Professional | FX · Film X-ray | $147.91 | $204.17 | $204.17 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $165.96 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $147.91 | $165.96 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $79.43 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $31.62 | $51.29 | $51.29 |
Where Idaho sits
The same service costs 4.1 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· 13th of 51
$245
AK $389TX $95.50
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.