How much rates vary
Facilitymedian $229 · 10th to 90th $135 to $295Professionalmedian $191 · 10th to 90th $107 to $251
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 TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | TC · Technical part | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $125.89 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $134.90 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $60.26 | $104.71 | $104.71 |
BCBS Idaho Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $380.19 | Facility | None | $141.25 | $229.09 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $107.15 | $125.89 | $239.88 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $128.82 | Professional | 26 · Professional part | $107.15 | $120.23 | $128.82 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $93.33 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $131.83 | $165.96 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $75.86 | $95.50 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $58.88 | $74.13 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $61.66 Median $239.88 Typical High $346.74 | Facility | None | $61.66 | $239.88 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $138.04 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $67.61 | $104.71 | $104.71 |
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 $190.55 Median $251.19 Typical High $251.19 | Facility | None | $190.55 | $251.19 | $251.19 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $251.19 | $251.19 | $295.12 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $204.17 | $239.88 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $162.18 | Professional | 26 · Professional part | $109.65 | $128.82 | $162.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $93.33 | $109.65 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $204.17 | Facility | None | $64.57 | $144.54 | $204.17 |
Select Health Setting Professional Modifier None (both parts) Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None (both parts) | $8,511.38 | $8,511.38 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $134.90 | $138.04 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $69.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $69.18 | $123.03 |
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 $61.66 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $61.66 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $25.12 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $112.20 | $190.55 | $190.55 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $85.11 Typical High $89.13 | Professional | 78 · Unplanned return to OR | $75.86 | $85.11 | $89.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $69.18 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $28.18 | $47.86 | $47.86 |
Where Idaho sits
The same service costs 4.5 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· 8th of 51
$191
AK $372FL $83.18
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.