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 Typical Low $17.38 Median $28.18 Typical High $28.18 | Professional | None | $17.38 | $28.18 | $28.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $66.07 Median $173.78 Typical High $331.13 | Facility | None | $66.07 | $173.78 | $331.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | None | $30.20 | $35.48 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $44.67 | Professional | None | $19.05 | $22.91 | $44.67 |
Moda Health Setting Facility Modifier None Typical Low $16.60 Median $28.18 Typical High $85.11 | Facility | None | $16.60 | $28.18 | $85.11 |
Moda Health Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $39.81 | Professional | None | $28.18 | $30.90 | $39.81 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $28.84 Median $38.02 Typical High $38.02 | Facility | None | $28.84 | $38.02 | $38.02 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $44.67 | Professional | None | $30.20 | $38.02 | $44.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | None | $31.62 | $37.15 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $16.98 Median $17.38 Typical High $114.82 | Facility | None | $16.98 | $17.38 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $23.44 | Professional | None | $16.98 | $16.98 | $23.44 |
United Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $169.82 | Professional | None | $16.22 | $32.36 | $169.82 |
2 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 $10.47 Median $10.47 Typical High $10.47 | Facility | FX · Film X-ray | $10.47 | $10.47 | $10.47 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $20.89 Median $23.44 Typical High $29.51 | Professional | 78 · Unplanned return to OR | $20.89 | $23.44 | $29.51 |
Where Idaho sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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
$33.88
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.