How much rates vary
Facilitymedian $48 · 10th to 90th $9 to $102Professionalmedian $19 · 10th to 90th $13 to $28
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 $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.88 Median $19.95 Typical High $22.91 | Professional | None (both parts) | $12.88 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $16.22 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $6.92 Typical High $7.41 | Professional | TC · Technical part | $4.37 | $6.92 | $7.41 |
BCBS Idaho Setting Facility Modifier None Typical Low $5.62 Median $58.88 Typical High $104.71 | Facility | None | $5.62 | $58.88 | $104.71 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | None (both parts) | $19.05 | $22.39 | $23.44 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $15.85 | Professional | 26 · Professional part | $12.88 | $15.14 | $15.85 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $5.89 Median $7.24 Typical High $7.59 | Professional | TC · Technical part | $5.89 | $7.24 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $83.18 Typical High $162.18 | Facility | None | $33.88 | $83.18 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.88 Median $16.60 Typical High $20.42 | Professional | None (both parts) | $12.88 | $16.60 | $20.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $14.13 | Professional | 26 · Professional part | $8.91 | $11.48 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.13 Typical High $6.46 | Professional | TC · Technical part | $3.89 | $5.13 | $6.46 |
Hally Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | None | $33.88 | $33.88 | $50.12 |
Moda Health Setting Facility Modifier None Typical Low $8.71 Median $22.91 Typical High $33.11 | Facility | None | $8.71 | $22.91 | $33.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $12.30 Median $19.50 Typical High $27.54 | Professional | None (both parts) | $12.30 | $19.50 | $27.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $14.45 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $14.45 | $18.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $6.92 Typical High $7.94 | Professional | TC · Technical part | $4.47 | $6.92 | $7.94 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.03 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $6.03 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $5.62 Median $13.49 Typical High $24.55 | Facility | None | $5.62 | $13.49 | $24.55 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $13.49 Median $19.50 Typical High $28.84 | Professional | None (both parts) | $13.49 | $19.50 | $28.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $74.13 Typical High $104.71 | Facility | None | $47.86 | $74.13 | $104.71 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $20.42 Median $23.44 Typical High $27.54 | Professional | None (both parts) | $20.42 | $23.44 | $27.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $19.05 | Professional | 26 · Professional part | $14.13 | $15.85 | $19.05 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $7.59 Typical High $8.32 | Professional | TC · Technical part | $6.61 | $7.59 | $8.32 |
Select Health Setting Facility Modifier None Typical Low $10.72 Median $10.96 Typical High $43.65 | Facility | None | $10.72 | $10.96 | $43.65 |
Select Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $15.85 Typical High $22.91 | Professional | None (both parts) | $10.72 | $15.85 | $22.91 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $7.24 | $10.47 | $15.85 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $5.13 Typical High $6.92 | Professional | TC · Technical part | $3.55 | $5.13 | $6.92 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $14.79 Typical High $28.84 | Professional | None (both parts) | $12.30 | $14.79 | $28.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $19.05 | Professional | 26 · Professional part | $8.32 | $10.00 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $5.13 Typical High $10.23 | Professional | TC · Technical part | $3.98 | $5.13 | $10.23 |
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 $6.61 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $6.61 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $2.69 | $4.57 | $4.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $10.72 Median $18.62 Typical High $18.62 | Professional | FX · Film X-ray | $10.72 | $18.62 | $18.62 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $13.18 Median $14.79 Typical High $15.49 | Professional | 78 · Unplanned return to OR | $13.18 | $14.79 | $15.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $6.61 | $11.48 | $11.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $2.69 | $4.57 | $4.57 |
Where Idaho sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 10th of 51
$20.42
AK $35.48FL $9.12
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.