How much rates vary
Facilitymedian $263 · 10th to 90th $65 to $468Professionalmedian $107 · 10th to 90th $56 to $138
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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $109.65 Typical High $114.82 | Professional | None (both parts) | $67.61 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $58.88 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $41.69 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $41.69 | $52.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $309.03 Typical High $467.74 | Facility | None | $173.78 | $309.03 | $467.74 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $95.50 | $112.20 | $117.49 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $58.88 | $69.18 | $72.44 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $41.69 Typical High $45.71 | Professional | TC · Technical part | $35.48 | $41.69 | $45.71 |
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 $72.44 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $72.44 | $89.13 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $52.48 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $46.77 | Professional | TC · Technical part | $26.92 | $33.88 | $46.77 |
Hally Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | None | $199.53 | $199.53 | $218.78 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $114.82 Typical High $165.96 | Facility | None | $52.48 | $114.82 | $165.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $138.04 | Professional | None (both parts) | $79.43 | $114.82 | $138.04 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $61.66 | $74.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $41.69 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $41.69 | $50.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | None (both parts) | $33.11 | $33.11 | $33.88 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $123.03 | Facility | None | $48.98 | $48.98 | $123.03 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $48.98 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $48.98 | $100.00 | $144.54 |
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 $107.15 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $107.15 | $117.49 | $138.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $64.57 | $72.44 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $40.74 | $45.71 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $53.70 Median $54.95 Typical High $251.19 | Facility | None | $53.70 | $54.95 | $251.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $53.70 | $79.43 | $114.82 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $48.98 | $74.13 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $41.69 | Professional | TC · Technical part | $20.42 | $29.51 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $63.10 | $100.00 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $51.29 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $48.98 Typical High $100.00 | Professional | TC · Technical part | $26.30 | $48.98 | $100.00 |
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 $33.88 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $33.88 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $13.49 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $53.70 | $93.33 | $93.33 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $66.07 Median $74.13 Typical High $77.62 | Professional | 78 · Unplanned return to OR | $66.07 | $74.13 | $77.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $33.88 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $13.49 | $22.91 | $22.91 |
Where Idaho sits
The same service costs 3.8 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· 11th of 51
$107
AK $178TX $46.77
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.