How much rates vary
Facilitymedian $263 · 10th to 90th $44 to $468Professionalmedian $91 · 10th to 90th $49 to $117
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $57.54 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $63.10 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $63.10 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.88 Typical High $43.65 | Professional | TC · Technical part | $22.91 | $33.88 | $43.65 |
BCBS Idaho Setting Facility Modifier None Typical Low $97.72 Median $302.00 Typical High $489.78 | Facility | None | $97.72 | $302.00 | $489.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $97.72 | Professional | None (both parts) | $81.28 | $95.50 | $97.72 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $61.66 | Professional | 26 · Professional part | $51.29 | $60.26 | $61.66 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $37.15 | Professional | TC · Technical part | $29.51 | $34.67 | $37.15 |
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 $61.66 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $61.66 | $77.62 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $39.81 | $50.12 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $38.02 | Professional | TC · Technical part | $21.88 | $27.54 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | None | $162.18 | $162.18 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $141.25 Typical High $398.11 | Facility | None | $74.13 | $141.25 | $398.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $67.61 | $97.72 | $117.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $60.26 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $60.26 | $72.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.88 Typical High $45.71 | Professional | TC · Technical part | $22.91 | $33.88 | $45.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $29.51 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $27.54 Median $43.65 Typical High $102.33 | Facility | None | $27.54 | $43.65 | $102.33 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $43.65 Median $85.11 Typical High $123.03 | Professional | None (both parts) | $43.65 | $85.11 | $123.03 |
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 $89.13 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $89.13 | $97.72 | $117.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $56.23 | $61.66 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $41.69 | Professional | TC · Technical part | $33.11 | $37.15 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $45.71 Median $46.77 Typical High $234.42 | Facility | None | $45.71 | $46.77 | $234.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $45.71 | $66.07 | $97.72 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $42.66 | $63.10 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $24.55 Typical High $34.67 | Professional | TC · Technical part | $16.60 | $24.55 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $53.70 | $93.33 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $32.36 | $52.48 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $39.81 Typical High $81.28 | Professional | TC · Technical part | $21.88 | $39.81 | $81.28 |
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 $28.84 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $28.84 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $11.48 | $19.50 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $45.71 | $77.62 | $77.62 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $56.23 Median $63.10 Typical High $66.07 | Professional | 78 · Unplanned return to OR | $56.23 | $63.10 | $66.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $28.84 | $48.98 | $48.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $11.48 | $19.50 | $19.50 |
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· 13th of 51
$93.33
AK $151TX $39.81
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.