How much rates vary
Facilitymedian $302 · 10th to 90th $148 to $447Professionalmedian $295 · 10th to 90th $112 to $355
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 $218.78 Median $346.74 Typical High $346.74 | Facility | None | $218.78 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $295.12 Typical High $338.84 | Professional | None (both parts) | $138.04 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $120.23 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $173.78 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $173.78 | $199.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $316.23 Typical High $467.74 | Facility | None | $173.78 | $316.23 | $467.74 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $275.42 | $323.59 | $354.81 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $102.33 | $120.23 | $125.89 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $173.78 | $204.17 | $229.09 |
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 $158.49 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $158.49 | $194.98 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $81.28 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $91.20 | $114.82 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $407.38 | Professional | None | $371.54 | $371.54 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $295.12 Typical High $416.87 | Facility | None | $169.82 | $295.12 | $416.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $295.12 Typical High $371.54 | Professional | None (both parts) | $144.54 | $295.12 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $120.23 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $120.23 | $138.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $89.13 | $173.78 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $97.72 | Professional | None (both parts) | $33.11 | $33.11 | $97.72 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $91.20 Median $186.21 Typical High $354.81 | Facility | None | $91.20 | $186.21 | $354.81 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $91.20 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $91.20 | $295.12 | $416.87 |
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 $302.00 Median $354.81 Typical High $371.54 | Professional | None (both parts) | $302.00 | $354.81 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $144.54 | Professional | 26 · Professional part | $107.15 | $125.89 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $194.98 | $229.09 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $446.68 | Facility | None | $158.49 | $158.49 | $446.68 |
Select Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $158.49 | $229.09 | $309.03 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $85.11 | $112.20 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $97.72 | $128.82 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $134.90 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $63.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $91.20 | $158.49 |
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 $81.28 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $81.28 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $32.36 | $58.88 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $134.90 | $234.42 | $234.42 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $213.80 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $190.55 | $213.80 | $229.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $85.11 | $147.91 | $147.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $33.88 | $58.88 | $58.88 |
Where Idaho sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$295
AK $468UT $95.50
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.