How much rates vary
Facilitymedian $229 · 10th to 90th $39 to $380Professionalmedian $79 · 10th to 90th $43 to $105
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 $52.48 Median $52.48 Typical High $69.18 | Facility | None | $52.48 | $52.48 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $93.33 Typical High $104.71 | Professional | None (both parts) | $45.71 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $48.98 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $41.69 Typical High $47.86 | Professional | TC · Technical part | $22.91 | $41.69 | $47.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $263.03 Typical High $380.19 | Facility | None | $48.98 | $263.03 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $91.20 | Professional | None (both parts) | $74.13 | $87.10 | $91.20 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $40.74 | $47.86 | $47.86 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $43.65 | Professional | TC · Technical part | $33.88 | $39.81 | $43.65 |
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 $52.48 Median $64.57 Typical High $83.18 | Professional | None (both parts) | $52.48 | $64.57 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $35.48 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $23.44 | $29.51 | $37.15 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | None | $91.20 | $91.20 | $154.88 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $93.33 Typical High $131.83 | Facility | None | $52.48 | $93.33 | $131.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $50.12 | $93.33 | $173.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $23.99 | $47.86 | $69.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $39.81 Typical High $47.86 | Professional | TC · Technical part | $23.44 | $39.81 | $47.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $22.91 | $33.11 | $37.15 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $95.50 | Facility | None | $32.36 | $38.90 | $95.50 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $38.90 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $38.90 | $77.62 | $112.20 |
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 $79.43 Median $91.20 Typical High $109.65 | Professional | None (both parts) | $79.43 | $91.20 | $109.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $47.86 | $58.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $50.12 | Professional | TC · Technical part | $38.02 | $43.65 | $50.12 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $43.65 Typical High $194.98 | Facility | None | $42.66 | $43.65 | $194.98 |
Select Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $42.66 | $61.66 | $91.20 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.88 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $33.88 | $48.98 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $40.74 | Professional | TC · Technical part | $19.05 | $27.54 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $44.67 | $50.12 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $26.92 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $19.95 | $23.44 | $41.69 |
3 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 FX · Film X-ray Typical Low $43.65 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $43.65 | $74.13 | $74.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $52.48 Median $57.54 Typical High $61.66 | Professional | 78 · Unplanned return to OR | $52.48 | $57.54 | $61.66 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $53.70 Median $97.72 Typical High $295.12 | Professional | 59 · Distinct service | $53.70 | $97.72 | $295.12 |
Where Idaho sits
The same service costs 4.5 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· 9th of 51
$83.18
AK $141UT $31.62
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.