How much rates vary
Facilitymedian $331 · 10th to 90th $123 to $575Professionalmedian $209 · 10th to 90th $107 to $275
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 $186.21 Median $281.84 Typical High $302.00 | Facility | None | $186.21 | $281.84 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $131.83 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $37.15 | $75.86 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $158.49 | $165.96 |
BCBS Idaho Setting Facility Modifier None Typical Low $158.49 Median $354.81 Typical High $512.86 | Facility | None | $158.49 | $354.81 | $512.86 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $186.21 | $218.78 | $239.88 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $77.62 | Professional | 26 · Professional part | $63.10 | $74.13 | $77.62 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $162.18 | Professional | TC · Technical part | $123.03 | $144.54 | $162.18 |
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 $134.90 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $134.90 | $165.96 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $56.23 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $89.13 | $112.20 | $138.04 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | None | $346.74 | $346.74 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $549.54 Typical High $794.33 | Facility | None | $239.88 | $549.54 | $794.33 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $354.81 Typical High $794.33 | Facility | TC · Technical part | $131.83 | $354.81 | $794.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $295.12 | Professional | None (both parts) | $134.90 | $239.88 | $295.12 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $75.86 Typical High $141.25 | Professional | 26 · Professional part | $37.15 | $75.86 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $144.54 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $138.04 | Professional | None (both parts) | $33.11 | $33.11 | $138.04 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $61.66 Median $123.03 Typical High $239.88 | Facility | None | $61.66 | $123.03 | $239.88 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $61.66 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $61.66 | $199.53 | $281.84 |
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 $208.93 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $208.93 | $239.88 | $281.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $66.07 | $77.62 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $186.21 | Professional | TC · Technical part | $141.25 | $162.18 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $467.74 | Facility | None | $107.15 | $109.65 | $467.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $107.15 | $154.88 | $234.42 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $52.48 | $79.43 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $102.33 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $125.89 | $144.54 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $43.65 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $83.18 | $104.71 | $208.93 |
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 $72.44 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $72.44 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $29.51 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $117.49 | $190.55 | $190.55 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $144.54 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $131.83 | $144.54 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $72.44 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $29.51 | $47.86 | $47.86 |
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· 8th of 51
$214
AK $355TX $93.33
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.