How much rates vary
Facilitymedian $83 · 10th to 90th $54 to $209Professionalmedian $135 · 10th to 90th $49 to $174
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 Professional Modifier None (both parts) Typical Low $38.90 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $38.90 | $112.20 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $19.05 | $44.67 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $20.42 | $67.61 | $95.50 |
BCBS Idaho Setting Facility Modifier None Typical Low $39.81 Median $85.11 Typical High $245.47 | Facility | None | $39.81 | $85.11 | $245.47 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $165.96 | Professional | None (both parts) | $134.90 | $158.49 | $165.96 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $63.10 | $64.57 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $102.33 | Professional | TC · Technical part | $81.28 | $95.50 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $89.13 | $114.82 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $40.74 | $47.86 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $77.62 | Professional | TC · Technical part | $51.29 | $66.07 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $162.18 Typical High $234.42 | Facility | None | $75.86 | $162.18 | $234.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $89.13 | $162.18 | $194.98 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $22.39 | $56.23 | $67.61 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $56.23 | $87.10 | $95.50 |
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 $75.86 Median $173.78 Typical High $173.78 | Facility | None | $75.86 | $173.78 | $173.78 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $75.86 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $75.86 | $173.78 | $204.17 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $125.89 | $165.96 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $77.62 | Facility | None | $58.88 | $75.86 | $77.62 |
Select Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $75.86 | $75.86 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $36.31 | $72.44 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $33.88 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $39.81 Typical High $58.88 | Professional | TC · Technical part | $16.60 | $39.81 | $58.88 |
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 Facility Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | FX · Film X-ray | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $44.67 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $17.78 | $32.36 | $32.36 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $104.71 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $93.33 | $104.71 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $47.86 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $19.05 | $32.36 | $32.36 |
Where Idaho sits
The same service costs 5.9 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
$132
AK $245TX $41.69
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.