How much rates vary
Facilitymedian $309 · 10th to 90th $110 to $575Professionalmedian $174 · 10th to 90th $81 to $234
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 $162.18 Median $245.47 Typical High $257.04 | Facility | None | $162.18 | $245.47 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $112.20 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $60.26 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $141.25 Typical High $158.49 | Professional | TC · Technical part | $85.11 | $141.25 | $158.49 |
BCBS Idaho Setting Facility Modifier None Typical Low $151.36 Median $323.59 Typical High $512.86 | Facility | None | $151.36 | $323.59 | $512.86 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $162.18 | $190.55 | $204.17 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $58.88 | $61.66 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $144.54 | Professional | TC · Technical part | $109.65 | $128.82 | $144.54 |
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 $114.82 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $114.82 | $144.54 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $44.67 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $100.00 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | None | $257.04 | $257.04 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $512.86 Typical High $630.96 | Facility | None | $204.17 | $512.86 | $630.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $346.74 Typical High $524.81 | Facility | TC · Technical part | $165.96 | $346.74 | $524.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $125.89 | $204.17 | $245.47 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $31.62 | $64.57 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $147.91 | Professional | TC · Technical part | $91.20 | $123.03 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $33.11 | $33.11 | $63.10 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $48.98 Median $109.65 Typical High $204.17 | Facility | None | $48.98 | $109.65 | $204.17 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $48.98 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $48.98 | $173.78 | $239.88 |
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 $173.78 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $173.78 | $204.17 | $245.47 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $52.48 | $61.66 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $123.03 | $144.54 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $537.03 | Facility | None | $91.20 | $93.33 | $537.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $91.20 | $131.83 | $199.53 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $40.74 | $63.10 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $91.20 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $107.15 | $125.89 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $33.88 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $190.55 | Professional | TC · Technical part | $60.26 | $93.33 | $190.55 |
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 $63.10 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $63.10 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $25.12 | $40.74 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $102.33 | $165.96 | $165.96 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $125.89 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $112.20 | $125.89 | $131.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $63.10 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $25.12 | $40.74 | $40.74 |
Where Idaho sits
The same service costs 4.2 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
$178
AK $302UT $72.44
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.