How much rates vary
Facilitymedian $316 · 10th to 90th $60 to $759Professionalmedian $117 · 10th to 90th $65 to $209
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 $87.10 Median $141.25 Typical High $177.83 | Facility | None | $87.10 | $141.25 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $67.61 | $117.49 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $30.90 | $58.88 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $53.70 Typical High $173.78 | Professional | TC · Technical part | $33.11 | $53.70 | $173.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $45.71 Median $467.74 Typical High $758.58 | Facility | None | $45.71 | $467.74 | $758.58 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $104.71 | $120.23 | $134.90 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $66.07 | Professional | 26 · Professional part | $52.48 | $61.66 | $66.07 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $58.88 Typical High $61.66 | Professional | TC · Technical part | $52.48 | $58.88 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $70.79 | $87.10 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $35.48 | $44.67 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $40.74 Typical High $46.77 | Professional | TC · Technical part | $32.36 | $40.74 | $46.77 |
Hally Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $177.83 Typical High $676.08 | Facility | None | $117.49 | $177.83 | $676.08 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $562.34 Typical High $933.25 | Facility | TC · Technical part | $64.57 | $562.34 | $933.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $67.61 | $117.49 | $218.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $30.90 | $64.57 | $91.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $53.70 Typical High $169.82 | Professional | TC · Technical part | $36.31 | $53.70 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $30.20 | $33.11 | $50.12 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $45.71 Median $134.90 Typical High $134.90 | Facility | None | $45.71 | $134.90 | $134.90 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $102.33 | $134.90 | $275.42 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $104.71 | $120.23 | $141.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $53.70 | $61.66 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $66.07 | Professional | TC · Technical part | $51.29 | $58.88 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $61.66 Typical High $870.96 | Facility | None | $60.26 | $61.66 | $870.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $218.78 | Professional | None (both parts) | $60.26 | $87.10 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $104.71 Typical High $380.19 | Professional | None (both parts) | $58.88 | $104.71 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $33.88 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $46.77 Typical High $346.74 | Professional | TC · Technical part | $25.70 | $46.77 | $346.74 |
7 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 $33.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $33.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $13.49 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $53.70 | $95.50 | $95.50 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $83.18 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $74.13 | $83.18 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $33.88 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $13.49 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $66.07 Median $79.43 Typical High $331.13 | Professional | 59 · Distinct service | $66.07 | $79.43 | $331.13 |
Where Idaho sits
The same service costs 4.6 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· 12th of 51
$117
AK $209TX $45.71
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.