How much rates vary
Facilitymedian $302 · 10th to 90th $135 to $575Professionalmedian $209 · 10th to 90th $110 to $288
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 $173.78 Median $288.40 Typical High $302.00 | Facility | None | $173.78 | $288.40 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $245.47 Typical High $275.42 | Professional | None (both parts) | $125.89 | $245.47 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $69.18 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $173.78 | $199.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $478.63 | Facility | None | $158.49 | $316.23 | $478.63 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $190.55 | $223.87 | $245.47 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $66.07 | Professional | 26 · Professional part | $53.70 | $64.57 | $66.07 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $177.83 | Professional | TC · Technical part | $138.04 | $162.18 | $177.83 |
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 $134.90 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $134.90 | $169.82 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $38.90 | $48.98 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $123.03 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $389.05 | Professional | None | $239.88 | $239.88 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $245.47 Median $549.54 Typical High $602.56 | Facility | None | $245.47 | $549.54 | $602.56 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $354.81 Typical High $602.56 | Facility | TC · Technical part | $181.97 | $354.81 | $602.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $134.90 | $239.88 | $389.05 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $33.88 | $69.18 | $104.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $173.78 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $91.20 | Professional | None (both parts) | $33.11 | $33.11 | $91.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $52.48 Median $134.90 Typical High $245.47 | Facility | None | $52.48 | $134.90 | $245.47 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $52.48 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $52.48 | $204.17 | $288.40 |
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 $208.93 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $208.93 | $245.47 | $288.40 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $57.54 | $66.07 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $204.17 | Professional | TC · Technical part | $151.36 | $177.83 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $218.78 | Facility | None | $109.65 | $112.20 | $218.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $109.65 | $158.49 | $223.87 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $44.67 | $67.61 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $77.62 | $112.20 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $125.89 | $131.83 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $37.15 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $89.13 | $95.50 | $173.78 |
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 $67.61 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $67.61 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $26.92 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $120.23 | $194.98 | $194.98 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $147.91 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $134.90 | $147.91 | $158.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $70.79 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $28.18 | $48.98 | $48.98 |
Where Idaho sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$214
AK $355FL $97.72
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.