How much rates vary
Facilitymedian $275 · 10th to 90th $115 to $407Professionalmedian $195 · 10th to 90th $85 to $251
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 None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $97.72 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $66.07 | $169.82 | $169.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $125.89 Median $288.40 Typical High $457.09 | Facility | None | $125.89 | $288.40 | $457.09 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $177.83 | $208.93 | $234.42 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $48.98 | $57.54 | $63.10 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $169.82 | Professional | TC · Technical part | $128.82 | $151.36 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $602.56 | Facility | None | $147.91 | $371.54 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $128.82 | $162.18 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $35.48 | $44.67 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $141.25 | Professional | TC · Technical part | $93.33 | $114.82 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | None | $288.40 | $288.40 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $331.13 | Facility | None | $102.33 | $234.42 | $331.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $102.33 | $234.42 | $275.42 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $30.90 | $64.57 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $70.79 | $144.54 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $33.11 | $33.11 | $70.79 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $47.86 Median $125.89 Typical High $229.09 | Facility | None | $47.86 | $125.89 | $229.09 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $47.86 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $47.86 | $194.98 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $398.11 | Facility | None | $213.80 | $302.00 | $398.11 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $199.53 | $234.42 | $275.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $53.70 | $63.10 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $199.53 | Professional | TC · Technical part | $144.54 | $169.82 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $102.33 Typical High $489.78 | Facility | None | $100.00 | $102.33 | $489.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $100.00 | $147.91 | $218.78 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $40.74 | $63.10 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $104.71 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $117.49 | $125.89 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $34.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $85.11 | $95.50 | $190.55 |
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 $57.54 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $57.54 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $23.44 | $46.77 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $112.20 | $186.21 | $186.21 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $138.04 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $123.03 | $138.04 | $144.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $64.57 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $25.70 | $46.77 | $46.77 |
Where Idaho sits
The same service costs 3.9 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· 9th of 51
$200
AK $339TX $87.10
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.