How much rates vary
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 $239.88 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $239.88 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $229.09 | $446.68 | $446.68 |
BCBS Idaho Setting Facility Modifier None Typical Low $363.08 Median $630.96 Typical High $831.76 | Facility | None | $363.08 | $630.96 | $831.76 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $169.82 | $199.53 | $199.53 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $85.11 | Professional | 26 · Professional part | $72.44 | $79.43 | $85.11 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $100.00 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,348.96 | Facility | None | $316.23 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $162.18 | Professional | None (both parts) | $109.65 | $134.90 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $47.86 | $58.88 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $79.43 | $91.20 |
Moda Health Setting Facility Modifier None Typical Low $40.74 Median $478.63 Typical High $676.08 | Facility | None | $40.74 | $478.63 | $676.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $281.84 | $478.63 | $478.63 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $269.15 | $446.68 | $446.68 |
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 $60.26 Median $60.26 Typical High $213.80 | Facility | None | $60.26 | $60.26 | $213.80 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $257.04 | Professional | None (both parts) | $60.26 | $70.79 | $257.04 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $660.69 Typical High $851.14 | Facility | None | $446.68 | $660.69 | $851.14 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $169.82 | $199.53 | $199.53 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $69.18 | $81.28 | $102.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $100.00 | $117.49 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $776.25 | Facility | None | $263.03 | $263.03 | $776.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $263.03 | $263.03 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $107.15 | $275.42 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $42.66 | $43.65 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $234.42 Typical High $281.84 | Professional | TC · Technical part | $63.10 | $234.42 | $281.84 |
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 $426.58 Median $426.58 Typical High $426.58 | Facility | FX · Film X-ray | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $120.23 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $47.86 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $234.42 | $380.19 | $380.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $147.91 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $58.88 | $95.50 | $95.50 |
Where Idaho sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 25th of 51
$200
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.