How much rates vary
Facilitymedian $209 · 10th to 90th $63 to $468Professionalmedian $162 · 10th to 90th $95 to $209
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 TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | TC · Technical part | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $181.97 Typical High $186.21 | Professional | None (both parts) | $95.50 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $95.50 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $95.50 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $48.98 | $83.18 | $83.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $64.57 Median $288.40 Typical High $467.74 | Facility | None | $64.57 | $288.40 | $467.74 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $144.54 | $169.82 | $177.83 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $95.50 | Professional | 26 · Professional part | $79.43 | $93.33 | $95.50 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $85.11 | Professional | TC · Technical part | $66.07 | $77.62 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $102.33 | $128.82 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $69.18 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $46.77 | $58.88 | $72.44 |
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 $107.15 Median $181.97 Typical High $257.04 | Facility | None | $107.15 | $181.97 | $257.04 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $95.50 | $181.97 | $213.80 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $44.67 | $87.10 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $77.62 Typical High $83.18 | Professional | TC · Technical part | $51.29 | $77.62 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $33.11 | $33.11 | $37.15 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $63.10 Median $186.21 Typical High $186.21 | Facility | None | $63.10 | $186.21 | $186.21 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $154.88 | $186.21 | $218.78 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $154.88 | $177.83 | $213.80 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $117.49 | Professional | 26 · Professional part | $83.18 | $95.50 | $117.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $74.13 | $85.11 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $85.11 Typical High $251.19 | Facility | None | $83.18 | $85.11 | $251.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $83.18 | $120.23 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $93.33 | $104.71 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $53.70 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $100.00 | Professional | TC · Technical part | $42.66 | $51.29 | $100.00 |
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 $53.70 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $53.70 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $21.38 | $36.31 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $85.11 | $144.54 | $144.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $114.82 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $102.33 | $114.82 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $53.70 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $21.38 | $36.31 | $36.31 |
Where Idaho sits
The same service costs 4.2 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
$162
AK $275TX $66.07
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.