How much rates vary
Facilitymedian $263 · 10th to 90th $58 to $398Professionalmedian $110 · 10th to 90th $54 to $138
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 $91.20 Median $141.25 Typical High $177.83 | Facility | None | $91.20 | $141.25 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $74.13 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $25.12 | $53.70 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $42.66 | $60.26 | $69.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $114.82 Median $275.42 Typical High $389.05 | Facility | None | $114.82 | $275.42 | $389.05 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $100.00 | $117.49 | $117.49 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $46.77 | $54.95 | $54.95 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $63.10 | Professional | TC · Technical part | $51.29 | $61.66 | $63.10 |
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 $79.43 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $79.43 | $95.50 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $40.74 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $45.71 | $54.95 | $70.79 |
Hally Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | None | $257.04 | $257.04 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $363.08 Typical High $416.87 | Facility | None | $117.49 | $363.08 | $416.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $138.04 | Professional | None (both parts) | $79.43 | $120.23 | $138.04 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $26.30 | $54.95 | $75.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $47.86 | $60.26 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.90 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $45.71 Median $48.98 Typical High $128.82 | Facility | None | $45.71 | $48.98 | $128.82 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $45.71 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $45.71 | $100.00 | $151.36 |
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 $107.15 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $107.15 | $117.49 | $138.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $46.77 | $54.95 | $69.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $56.23 | $61.66 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $354.81 | Facility | None | $57.54 | $57.54 | $354.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $117.49 | Professional | None (both parts) | $57.54 | $83.18 | $117.49 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $38.02 | $53.70 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $61.66 | Professional | TC · Technical part | $30.90 | $44.67 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $177.83 | Professional | None (both parts) | $81.28 | $89.13 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $30.90 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $51.29 | $63.10 | $125.89 |
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 $39.81 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $39.81 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $15.85 | $23.99 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $63.10 | $95.50 | $95.50 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $69.18 Median $77.62 Typical High $83.18 | Professional | 78 · Unplanned return to OR | $69.18 | $77.62 | $83.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $39.81 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $15.85 | $23.99 | $23.99 |
Where Idaho sits
The same service costs 4.1 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
$115
AK $195TX $47.86
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.