How much rates vary
Facilitymedian $1,445 · 10th to 90th $120 to $2,570Professionalmedian $240 · 10th to 90th $107 to $309
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 $190.55 Median $190.55 Typical High $190.55 | Facility | TC · Technical part | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $162.18 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $114.82 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $147.91 | $147.91 |
BCBS Idaho Setting Facility Modifier None Typical Low $537.03 Median $1,698.24 Typical High $2,570.40 | Facility | None | $537.03 | $1,698.24 | $2,570.40 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $295.12 | Professional | None (both parts) | $204.17 | $239.88 | $295.12 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $109.65 | Professional | 26 · Professional part | $87.10 | $102.33 | $109.65 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $158.49 | Professional | TC · Technical part | $117.49 | $138.04 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,819.70 Typical High $3,467.37 | Facility | None | $741.31 | $1,819.70 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $169.82 | $213.80 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $85.11 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $97.72 | $123.03 | $162.18 |
Hally Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $575.44 | Professional | None | $512.86 | $512.86 | $575.44 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $602.56 | Facility | None | $162.18 | $263.03 | $602.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $316.23 | Professional | None (both parts) | $208.93 | $263.03 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $74.13 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $114.82 | $147.91 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $33.11 | $33.11 | $56.23 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $263.03 | Facility | None | $91.20 | $91.20 | $263.03 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $91.20 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $91.20 | $223.87 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,047.13 | $1,737.80 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $316.23 | Professional | None (both parts) | $213.80 | $263.03 | $316.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $109.65 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $177.83 | Professional | TC · Technical part | $123.03 | $154.88 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $120.23 Typical High $588.84 | Facility | None | $117.49 | $120.23 | $588.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $117.49 | $169.82 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $478.63 | Professional | None (both parts) | $144.54 | $218.78 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $134.90 Typical High $346.74 | Professional | TC · Technical part | $85.11 | $134.90 | $346.74 |
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 $81.28 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $81.28 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $32.36 | $52.48 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $151.36 | $208.93 | $208.93 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $162.18 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $144.54 | $162.18 | $204.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $81.28 | $131.83 | $131.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $32.36 | $52.48 | $52.48 |
Where Idaho sits
The same service costs 4.9 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· 15th of 51
$257
AK $398TX $81.28
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.