How much rates vary
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 $37.15 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $37.15 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $18.62 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $83.18 | $158.49 | $158.49 |
BCBS Idaho Setting Facility Modifier None Typical Low $158.49 Median $309.03 Typical High $478.63 | Facility | None | $158.49 | $309.03 | $478.63 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $144.54 | $208.93 | $208.93 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $56.23 | $72.44 | $72.44 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $114.82 | $134.90 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $501.19 | Facility | None | $109.65 | $275.42 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $81.28 | $102.33 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $41.69 | Professional | 26 · Professional part | $28.84 | $35.48 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $77.62 | Professional | TC · Technical part | $53.70 | $66.07 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $223.87 | Facility | None | $97.72 | $158.49 | $223.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $37.15 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $18.62 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $158.49 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $323.59 Median $426.58 Typical High $426.58 | Facility | None | $323.59 | $426.58 | $426.58 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $239.88 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $239.88 | $426.58 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $158.49 Median $251.19 Typical High $331.13 | Facility | None | $158.49 | $251.19 | $331.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $125.89 | $208.93 | $208.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $44.67 | $72.44 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $83.18 | $134.90 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $380.19 | Facility | None | $165.96 | $234.42 | $380.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $8,511.38 | Professional | None (both parts) | $229.09 | $239.88 | $8,511.38 |
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 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 $39.81 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $39.81 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $15.85 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $83.18 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $39.81 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $15.85 | $22.91 | $22.91 |
Where Idaho sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 14th of 51
$155
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.