How much rates vary
Facilitymedian $95 · 10th to 90th $38 to $427Professionalmedian $71 · 10th to 90th $35 to $93
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 $58.88 Median $95.50 Typical High $120.23 | Facility | None | $58.88 | $95.50 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $33.88 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $13.49 | $26.92 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $51.29 Typical High $57.54 | Professional | TC · Technical part | $20.42 | $51.29 | $57.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $38.90 Median $117.49 Typical High $177.83 | Facility | None | $38.90 | $117.49 | $177.83 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $66.07 Median $77.62 Typical High $87.10 | Professional | None (both parts) | $66.07 | $77.62 | $87.10 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $26.92 | $37.15 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $52.48 | Professional | TC · Technical part | $42.66 | $50.12 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $64.57 | Professional | None (both parts) | $42.66 | $52.48 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $24.55 | Professional | 26 · Professional part | $15.85 | $19.95 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $40.74 | Professional | TC · Technical part | $26.30 | $33.11 | $40.74 |
Hally Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | None | $109.65 | $109.65 | $114.82 |
Moda Health Setting Facility Modifier None Typical Low $45.71 Median $95.50 Typical High $524.81 | Facility | None | $45.71 | $95.50 | $524.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $74.13 Typical High $93.33 | Professional | None (both parts) | $36.31 | $74.13 | $93.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $23.99 Typical High $40.74 | Professional | 26 · Professional part | $13.18 | $23.99 | $40.74 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $47.86 Typical High $53.70 | Professional | TC · Technical part | $22.39 | $47.86 | $53.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $24.55 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $39.81 Median $83.18 Typical High $83.18 | Facility | None | $39.81 | $83.18 | $83.18 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $83.18 | $83.18 | $114.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $93.33 | Professional | None (both parts) | $67.61 | $79.43 | $93.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $34.67 | Professional | 26 · Professional part | $23.99 | $28.18 | $34.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $42.66 | $50.12 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $37.15 Median $38.02 Typical High $154.88 | Facility | None | $37.15 | $38.02 | $154.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $102.33 | Professional | None (both parts) | $37.15 | $53.70 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $34.67 | $38.90 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $30.20 | Professional | 26 · Professional part | $14.79 | $15.49 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $23.44 | $41.69 |
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 $19.05 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $19.05 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $7.59 | $15.85 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $63.10 Typical High $63.10 | Professional | FX · Film X-ray | $36.31 | $63.10 | $63.10 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $45.71 Median $51.29 Typical High $67.61 | Professional | 78 · Unplanned return to OR | $45.71 | $51.29 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $21.88 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $8.71 | $15.85 | $15.85 |
Where Idaho sits
The same service costs 4.1 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· 7th of 51
$72.44
AK $117FL $28.84
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.