How much rates vary
Facilitymedian $229 · 10th to 90th $50 to $380Professionalmedian $78 · 10th to 90th $33 to $95
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 $69.18 Median $107.15 Typical High $109.65 | Facility | None | $69.18 | $107.15 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $39.81 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $13.49 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $63.10 Typical High $64.57 | Professional | TC · Technical part | $25.70 | $63.10 | $64.57 |
BCBS Idaho Setting Facility Modifier None Typical Low $56.23 Median $263.03 Typical High $380.19 | Facility | None | $56.23 | $263.03 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $93.33 | Professional | None (both parts) | $75.86 | $89.13 | $93.33 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $26.92 | Professional | 26 · Professional part | $21.88 | $25.70 | $26.92 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $66.07 | Professional | TC · Technical part | $53.70 | $63.10 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $602.56 | Facility | None | $147.91 | $371.54 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $77.62 | Professional | None (both parts) | $48.98 | $64.57 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.42 Typical High $25.70 | Professional | 26 · Professional part | $15.49 | $20.42 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $52.48 | Professional | TC · Technical part | $33.88 | $42.66 | $52.48 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $190.55 | Professional | None | $141.25 | $141.25 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $478.63 | Facility | None | $69.18 | $107.15 | $478.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $42.66 | $91.20 | $107.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $27.54 Typical High $31.62 | Professional | 26 · Professional part | $14.13 | $27.54 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $63.10 Typical High $66.07 | Professional | TC · Technical part | $27.54 | $63.10 | $66.07 |
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 $20.42 Median $51.29 Typical High $95.50 | Facility | None | $20.42 | $51.29 | $95.50 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $20.42 Median $53.70 Typical High $112.20 | Professional | None (both parts) | $20.42 | $53.70 | $112.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $389.05 | Facility | None | $213.80 | $302.00 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $75.86 | $93.33 | $107.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $26.92 | $32.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $75.86 | Professional | TC · Technical part | $53.70 | $66.07 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $43.65 Typical High $190.55 | Facility | None | $42.66 | $43.65 | $190.55 |
Select Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $81.28 | Professional | None (both parts) | $42.66 | $61.66 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $38.02 | $46.77 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $28.18 | Professional | 26 · Professional part | $14.13 | $14.79 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $32.36 | $56.23 |
4 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 $26.30 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $26.30 | $45.71 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $43.65 | $72.44 | $72.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $52.48 Median $58.88 Typical High $72.44 | Professional | 78 · Unplanned return to OR | $52.48 | $58.88 | $72.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $26.92 | $45.71 | $45.71 |
Where Idaho sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 6th of 51
$83.18
AK $132UT $33.11
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.