How much rates vary
Facilitymedian $263 · 10th to 90th $52 to $468Professionalmedian $112 · 10th to 90th $52 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 Facility Modifier None Typical Low $79.43 Median $141.25 Typical High $141.25 | Facility | None | $79.43 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $134.90 | Professional | None (both parts) | $69.18 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $52.48 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $60.26 Typical High $89.13 | Professional | TC · Technical part | $38.02 | $60.26 | $89.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $134.90 Median $302.00 Typical High $489.78 | Facility | None | $134.90 | $302.00 | $489.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $123.03 | Professional | None (both parts) | $100.00 | $117.49 | $123.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $54.95 | Professional | 26 · Professional part | $45.71 | $53.70 | $54.95 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $67.61 | Professional | TC · Technical part | $53.70 | $63.10 | $67.61 |
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 $69.18 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $69.18 | $87.10 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $40.74 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $53.70 | Professional | TC · Technical part | $34.67 | $45.71 | $53.70 |
Hally Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $338.84 | Professional | None | $263.03 | $263.03 | $338.84 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $141.25 Typical High $489.78 | Facility | None | $79.43 | $141.25 | $489.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $338.84 Typical High $537.03 | Facility | TC · Technical part | $70.79 | $338.84 | $537.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $144.54 | Professional | None (both parts) | $75.86 | $117.49 | $144.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $53.70 | $72.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $60.26 Typical High $95.50 | Professional | TC · Technical part | $39.81 | $60.26 | $95.50 |
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 $44.67 Median $52.48 Typical High $128.82 | Facility | None | $44.67 | $52.48 | $128.82 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $44.67 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $44.67 | $104.71 | $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 $123.03 Typical High $144.54 | Professional | None (both parts) | $107.15 | $123.03 | $144.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $47.86 | $54.95 | $69.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $74.13 | Professional | TC · Technical part | $57.54 | $67.61 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $57.54 Typical High $389.05 | Facility | None | $56.23 | $57.54 | $389.05 |
Select Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $56.23 | $83.18 | $123.03 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $38.02 | $57.54 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $66.07 | Professional | TC · Technical part | $30.90 | $44.67 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $97.72 Typical High $208.93 | Professional | None (both parts) | $60.26 | $97.72 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $30.90 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $51.29 Typical High $165.96 | Professional | TC · Technical part | $30.20 | $51.29 | $165.96 |
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 $34.67 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $34.67 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $13.80 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $54.95 | $95.50 | $95.50 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $69.18 Median $77.62 Typical High $81.28 | Professional | 78 · Unplanned return to OR | $69.18 | $77.62 | $81.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $34.67 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $13.80 | $23.44 | $23.44 |
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· 10th of 51
$112
AK $182TX $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.