How much rates vary
Facilitymedian $295 · 10th to 90th $93 to $468Professionalmedian $135 · 10th to 90th $54 to $170
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 $109.65 Median $109.65 Typical High $109.65 | Facility | TC · Technical part | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $151.36 | Professional | None (both parts) | $87.10 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $54.95 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $56.23 | $85.11 | $85.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $467.74 | Facility | None | $173.78 | $331.13 | $467.74 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $154.88 | Professional | None (both parts) | $125.89 | $147.91 | $154.88 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $54.95 | $64.57 | $64.57 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $89.13 | Professional | TC · Technical part | $70.79 | $83.18 | $89.13 |
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 $87.10 Median $112.20 Typical High $138.04 | Professional | None (both parts) | $87.10 | $112.20 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $46.77 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $79.43 | Professional | TC · Technical part | $50.12 | $66.07 | $79.43 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $309.03 | Professional | None | $186.21 | $186.21 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $93.33 Median $151.36 Typical High $218.78 | Facility | None | $93.33 | $151.36 | $218.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $87.10 | $151.36 | $181.97 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $56.23 | $67.61 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $85.11 | Professional | TC · Technical part | $56.23 | $77.62 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | None (both parts) | $33.11 | $33.11 | $40.74 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $162.18 | Facility | None | $45.71 | $45.71 | $162.18 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $45.71 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $45.71 | $131.83 | $190.55 |
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 $138.04 Median $154.88 Typical High $181.97 | Professional | None (both parts) | $138.04 | $154.88 | $181.97 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $79.43 | Professional | 26 · Professional part | $56.23 | $64.57 | $79.43 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $102.33 | Professional | TC · Technical part | $81.28 | $89.13 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $426.58 | Facility | None | $72.44 | $72.44 | $426.58 |
Select Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $72.44 | $104.71 | $151.36 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $45.71 | $66.07 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $58.88 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $91.20 | $107.15 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $38.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $67.61 | $120.23 |
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 $46.77 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $46.77 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $18.62 | $30.90 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $74.13 | $123.03 | $123.03 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $97.72 Typical High $102.33 | Professional | 78 · Unplanned return to OR | $87.10 | $97.72 | $102.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $46.77 | $75.86 | $75.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $18.62 | $30.90 | $30.90 |
Where Idaho sits
The same service costs 3.7 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
$141
AK $229TX $61.66
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.