How much rates vary
Facilitymedian $263 · 10th to 90th $66 to $427Professionalmedian $117 · 10th to 90th $54 to $145
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 Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $77.62 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $48.98 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $69.18 | $72.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $138.04 Median $302.00 Typical High $467.74 | Facility | None | $138.04 | $302.00 | $467.74 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $141.25 | Professional | None (both parts) | $114.82 | $134.90 | $141.25 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $60.26 | $61.66 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $79.43 | Professional | TC · Technical part | $63.10 | $74.13 | $79.43 |
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 $74.13 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $74.13 | $95.50 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $43.65 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $61.66 | Professional | TC · Technical part | $41.69 | $51.29 | $61.66 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | None | $165.96 | $165.96 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $134.90 Typical High $194.98 | Facility | None | $79.43 | $134.90 | $194.98 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $77.62 | $125.89 | $162.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $52.48 | $63.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $69.18 | $72.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | None (both parts) | $33.11 | $33.11 | $36.31 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $144.54 | Facility | None | $40.74 | $40.74 | $144.54 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $40.74 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $40.74 | $117.49 | $173.78 |
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 $123.03 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $123.03 | $141.25 | $162.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $61.66 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $70.79 | $79.43 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $66.07 Typical High $281.84 | Facility | None | $64.57 | $66.07 | $281.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $64.57 | $93.33 | $138.04 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $41.69 | $57.54 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $52.48 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $67.61 | $81.28 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $33.11 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $51.29 Typical High $102.33 | Professional | TC · Technical part | $36.31 | $51.29 | $102.33 |
7 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 Facility Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | FX · Film X-ray | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $39.81 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $15.85 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $64.57 | $107.15 | $107.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $89.13 Typical High $93.33 | Professional | 78 · Unplanned return to OR | $79.43 | $89.13 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $39.81 | $67.61 | $67.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $15.85 | $26.92 | $26.92 |
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· 9th of 51
$126
AK $204TX $53.70
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.