How much rates vary
Facilitymedian $1,698 · 10th to 90th $170 to $2,754Professionalmedian $295 · 10th to 90th $110 to $355
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 $190.55 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $190.55 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $120.23 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $125.89 | $229.09 | $229.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $363.08 Median $1,862.09 Typical High $2,754.23 | Facility | None | $363.08 | $1,862.09 | $2,754.23 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $263.03 | $309.03 | $371.54 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $123.03 | Professional | 26 · Professional part | $91.20 | $107.15 | $123.03 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $234.42 | Professional | TC · Technical part | $169.82 | $199.53 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $2,398.83 Typical High $4,365.16 | Facility | None | $977.24 | $2,398.83 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $295.12 | Professional | None (both parts) | $181.97 | $239.88 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $87.10 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $112.20 | $154.88 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $537.03 | Professional | None | $478.63 | $478.63 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $346.74 Typical High $501.19 | Facility | None | $131.83 | $346.74 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $239.88 | $346.74 | $407.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $77.62 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $141.25 | $229.09 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $81.28 | Professional | None (both parts) | $33.11 | $33.11 | $81.28 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $338.84 | Facility | None | $93.33 | $93.33 | $338.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $93.33 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $93.33 | $338.84 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $2,818.38 | Facility | None | $1,380.38 | $2,137.96 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $275.42 | $338.84 | $407.38 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $114.82 | $141.25 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $263.03 | Professional | TC · Technical part | $177.83 | $229.09 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $151.36 Typical High $575.44 | Facility | None | $147.91 | $151.36 | $575.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $147.91 | $218.78 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $147.91 | $173.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $64.57 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $109.65 | $199.53 |
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 Facility Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $95.50 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $38.02 | $69.18 | $69.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $275.42 Typical High $275.42 | Professional | FX · Film X-ray | $162.18 | $275.42 | $275.42 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $213.80 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $181.97 | $213.80 | $263.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $102.33 | $173.78 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $40.74 | $69.18 | $69.18 |
Where Idaho sits
The same service costs 4.3 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
$309
AK $513UT $120
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.