How much rates vary
Facilitymedian $316 · 10th to 90th $132 to $513Professionalmedian $191 · 10th to 90th $100 to $257
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 $162.18 Median $269.15 Typical High $281.84 | Facility | None | $162.18 | $269.15 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $120.23 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $57.54 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $57.54 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $169.82 Typical High $190.55 | Professional | TC · Technical part | $93.33 | $169.82 | $190.55 |
BCBS Idaho Setting Facility Modifier None Typical Low $158.49 Median $331.13 Typical High $512.86 | Facility | None | $158.49 | $331.13 | $512.86 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $229.09 | Professional | None (both parts) | $177.83 | $208.93 | $229.09 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $53.70 | Professional | 26 · Professional part | $44.67 | $52.48 | $53.70 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $173.78 | Professional | TC · Technical part | $131.83 | $154.88 | $173.78 |
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 $128.82 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $128.82 | $158.49 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $39.81 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $147.91 | Professional | TC · Technical part | $95.50 | $120.23 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $338.84 | Professional | None | $239.88 | $239.88 | $338.84 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $457.09 Typical High $660.69 | Facility | None | $181.97 | $457.09 | $660.69 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $354.81 Typical High $616.60 | Facility | TC · Technical part | $141.25 | $354.81 | $616.60 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $125.89 | $218.78 | $269.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $57.54 Typical High $85.11 | Professional | 26 · Professional part | $25.70 | $57.54 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $181.97 | Professional | TC · Technical part | $95.50 | $151.36 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $33.11 | $33.11 | $53.70 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $42.66 Median $131.83 Typical High $223.87 | Facility | None | $42.66 | $131.83 | $223.87 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $42.66 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $42.66 | $190.55 | $269.15 |
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 $190.55 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $190.55 | $229.09 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $45.71 | $53.70 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $199.53 | Professional | TC · Technical part | $147.91 | $173.78 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $102.33 Typical High $512.86 | Facility | None | $100.00 | $102.33 | $512.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $100.00 | $144.54 | $208.93 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $36.31 | $54.95 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $109.65 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $117.49 | $123.03 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $27.54 | $30.20 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $89.13 | $95.50 | $190.55 |
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 $64.57 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $64.57 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $25.70 | $45.71 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $112.20 | $181.97 | $181.97 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $138.04 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $123.03 | $138.04 | $144.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $67.61 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $26.92 | $45.71 | $45.71 |
Where Idaho sits
The same service costs 4.1 times more in Minnesota 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· 9th of 51
$200
MN $363FL $89.13
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.