How much rates vary
Facilitymedian $245 · 10th to 90th $58 to $380Professionalmedian $83 · 10th to 90th $36 to $112
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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $54.95 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $29.51 | $46.77 | $46.77 |
BCBS Idaho Setting Facility Modifier None Typical Low $134.90 Median $257.04 Typical High $380.19 | Facility | None | $134.90 | $257.04 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | None (both parts) | $77.62 | $91.20 | $95.50 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $45.71 | Professional | 26 · Professional part | $38.02 | $44.67 | $45.71 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $50.12 | Professional | TC · Technical part | $40.74 | $47.86 | $50.12 |
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 $57.54 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $57.54 | $69.18 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $27.54 | $33.11 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $28.84 | $36.31 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | None | $194.98 | $194.98 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $93.33 Typical High $134.90 | Facility | None | $54.95 | $93.33 | $134.90 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $93.33 Typical High $112.20 | Professional | None (both parts) | $54.95 | $93.33 | $112.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $44.67 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $44.67 | $46.77 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $51.29 | Professional | TC · Technical part | $30.20 | $46.77 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $40.74 | Professional | None (both parts) | $23.44 | $33.11 | $40.74 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $100.00 | Facility | None | $30.90 | $30.90 | $100.00 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $30.90 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $30.90 | $81.28 | $117.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $389.05 | Facility | None | $213.80 | $302.00 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $87.10 | $95.50 | $112.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $54.95 | Professional | 26 · Professional part | $40.74 | $45.71 | $54.95 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $45.71 | $50.12 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $45.71 Typical High $251.19 | Facility | None | $44.67 | $45.71 | $251.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $64.57 Typical High $95.50 | Professional | None (both parts) | $44.67 | $64.57 | $95.50 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $30.90 | $46.77 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $23.44 | $33.88 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $75.86 Typical High $151.36 | Professional | None (both parts) | $48.98 | $75.86 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $29.51 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $25.70 | $45.71 | $91.20 |
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 $27.54 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $27.54 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $10.96 | $18.62 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $44.67 | $74.13 | $74.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $61.66 Typical High $64.57 | Professional | 78 · Unplanned return to OR | $54.95 | $61.66 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $27.54 | $46.77 | $46.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $10.96 | $18.62 | $18.62 |
Where Idaho sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$87.10
AK $141UT $31.62
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.