How much rates vary
Facilitymedian $245 · 10th to 90th $110 to $363Professionalmedian $174 · 10th to 90th $76 to $204
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 $245.47 | Facility | None | $162.18 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $93.33 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $45.71 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $134.90 Typical High $141.25 | Professional | TC · Technical part | $64.57 | $134.90 | $141.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $109.65 Median $263.03 Typical High $346.74 | Facility | None | $109.65 | $263.03 | $346.74 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $158.49 | $186.21 | $204.17 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $60.26 | Professional | 26 · Professional part | $47.86 | $56.23 | $60.26 |
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 $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 $114.82 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $114.82 | $144.54 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $43.65 | $54.95 |
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 $398.11 Median $398.11 Typical High $436.52 | Professional | None | $398.11 | $398.11 | $436.52 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $245.47 Typical High $501.19 | Facility | None | $125.89 | $245.47 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $102.33 | $194.98 | $245.47 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $50.12 | $63.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $120.23 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $120.23 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $33.11 | $33.11 | $44.67 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $46.77 Median $109.65 Typical High $204.17 | Facility | None | $46.77 | $109.65 | $204.17 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $46.77 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $46.77 | $173.78 | $239.88 |
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 $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 $51.29 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $60.26 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $123.03 | $144.54 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $389.05 | Facility | None | $91.20 | $91.20 | $389.05 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $194.98 | Professional | None (both parts) | $91.20 | $131.83 | $194.98 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $39.81 | $60.26 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $91.20 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $107.15 | $112.20 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $33.11 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $79.43 | $154.88 |
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 $53.70 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $53.70 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $21.38 | $40.74 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $102.33 | $162.18 | $162.18 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $123.03 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $109.65 | $123.03 | $128.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $56.23 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $22.39 | $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· 10th 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.