How much rates vary
Facilitymedian $257 · 10th to 90th $120 to $468Professionalmedian $234 · 10th to 90th $89 to $282
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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $234.42 Typical High $239.88 | Professional | None (both parts) | $102.33 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $158.49 Typical High $173.78 | Professional | TC · Technical part | $66.07 | $158.49 | $173.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $331.13 | Facility | None | $154.88 | $263.03 | $331.13 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $199.53 | $234.42 | $281.84 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $70.79 | Professional | 26 · Professional part | $57.54 | $67.61 | $70.79 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $141.25 | $169.82 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $501.19 | Facility | None | $109.65 | $275.42 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $158.49 | $194.98 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $52.48 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $177.83 | Professional | TC · Technical part | $114.82 | $144.54 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $380.19 | Professional | None | $346.74 | $346.74 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $467.74 Typical High $512.86 | Facility | None | $234.42 | $467.74 | $512.86 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $109.65 | $234.42 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $36.31 | $74.13 | $95.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $158.49 Typical High $177.83 | Professional | TC · Technical part | $70.79 | $158.49 | $177.83 |
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 $56.23 Median $158.49 Typical High $257.04 | Facility | None | $56.23 | $158.49 | $257.04 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $56.23 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $56.23 | $234.42 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $323.59 | Facility | None | $158.49 | $245.47 | $323.59 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $331.13 | Professional | None (both parts) | $234.42 | $281.84 | $331.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $60.26 | $70.79 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $239.88 | Professional | TC · Technical part | $177.83 | $208.93 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $117.49 Typical High $588.84 | Facility | None | $114.82 | $117.49 | $588.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $114.82 | $165.96 | $257.04 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $47.86 | $72.44 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $181.97 | Professional | TC · Technical part | $81.28 | $117.49 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $144.54 | $154.88 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $39.81 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $114.82 | $229.09 |
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 $58.88 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $58.88 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $23.44 | $46.77 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $109.65 | $186.21 | $186.21 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $162.18 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $141.25 | $162.18 | $165.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $67.61 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $27.54 | $46.77 | $46.77 |
Where Idaho sits
The same service costs 3.7 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· 9th of 51
$234
AK $363TX $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.