How much rates vary
Facilitymedian $240 · 10th to 90th $68 to $380Professionalmedian $123 · 10th to 90th $60 to $170
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 $112.20 Median $169.82 Typical High $169.82 | Facility | None | $112.20 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $66.07 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $43.65 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $75.86 Typical High $85.11 | Professional | TC · Technical part | $39.81 | $75.86 | $85.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $134.90 Median $263.03 Typical High $380.19 | Facility | None | $134.90 | $263.03 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $144.54 | Professional | None (both parts) | $114.82 | $134.90 | $144.54 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $56.23 | Professional | 26 · Professional part | $46.77 | $54.95 | $56.23 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $67.61 | $79.43 | $87.10 |
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 $81.28 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $81.28 | $102.33 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $32.36 | $40.74 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $61.66 | $75.86 |
Hally Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $630.96 | Professional | None | $363.08 | $363.08 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $204.17 | Facility | None | $109.65 | $144.54 | $204.17 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $72.44 | $144.54 | $194.98 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $26.92 | $54.95 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $75.86 Typical High $85.11 | Professional | TC · Technical part | $39.81 | $75.86 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $147.91 | Facility | None | $44.67 | $44.67 | $147.91 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $44.67 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $44.67 | $120.23 | $173.78 |
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 $125.89 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $125.89 | $144.54 | $169.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $69.18 | Professional | 26 · Professional part | $47.86 | $56.23 | $69.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $100.00 | Professional | TC · Technical part | $75.86 | $87.10 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $66.07 Typical High $239.88 | Facility | None | $64.57 | $66.07 | $239.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $64.57 | $95.50 | $128.82 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $38.02 | $56.23 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $38.90 | $56.23 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $138.04 | Professional | None (both parts) | $64.57 | $79.43 | $138.04 |
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 $37.15 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $37.15 | $47.86 | $81.28 |
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 $37.15 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $37.15 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $14.79 | $28.84 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $114.82 Typical High $114.82 | Professional | FX · Film X-ray | $70.79 | $114.82 | $114.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $89.13 Typical High $93.33 | Professional | 78 · Unplanned return to OR | $79.43 | $89.13 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $38.90 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $15.85 | $28.84 | $28.84 |
Where Idaho sits
The same service costs 4.4 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
$129
AK $214UT $48.98
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.