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 Facility Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | TC · Technical part | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $46.77 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $16.22 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $37.15 | $60.26 | $60.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $77.62 Median $169.82 Typical High $831.76 | Facility | None | $77.62 | $169.82 | $831.76 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $91.20 | Professional | None (both parts) | $69.18 | $81.28 | $91.20 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $17.38 | Professional | 26 · Professional part | $13.49 | $15.85 | $17.38 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $70.79 | Professional | TC · Technical part | $56.23 | $66.07 | $70.79 |
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 $43.65 Median $56.23 Typical High $67.61 | Professional | None (both parts) | $43.65 | $56.23 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $13.80 | Professional | 26 · Professional part | $9.55 | $12.02 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $53.70 | Professional | TC · Technical part | $34.67 | $42.66 | $53.70 |
Hally Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | None | $81.28 | $81.28 | $89.13 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $75.86 Typical High $109.65 | Facility | None | $28.18 | $75.86 | $109.65 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $93.33 | Professional | None (both parts) | $53.70 | $75.86 | $93.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $10.23 | $16.22 | $16.22 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $60.26 | $60.26 |
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 $14.79 Median $14.79 Typical High $89.13 | Facility | None | $14.79 | $14.79 | $89.13 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $14.79 Median $85.11 Typical High $104.71 | Professional | None (both parts) | $14.79 | $85.11 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $588.84 Typical High $851.14 | Facility | None | $323.59 | $588.84 | $851.14 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $93.33 | Professional | None (both parts) | $67.61 | $83.18 | $93.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $19.05 | Professional | 26 · Professional part | $13.18 | $16.60 | $19.05 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $74.13 | Professional | TC · Technical part | $54.95 | $67.61 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $316.23 | Facility | None | $39.81 | $39.81 | $316.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $39.81 | $57.54 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $79.43 | Professional | None (both parts) | $36.31 | $41.69 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $15.85 | Professional | 26 · Professional part | $7.94 | $8.32 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $28.84 | $33.11 | $63.10 |
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 Professional Modifier 52 · Reduced service Typical Low $23.44 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $23.44 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $9.33 | $15.14 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $61.66 Typical High $61.66 | Professional | FX · Film X-ray | $37.15 | $61.66 | $61.66 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $47.86 Median $57.54 Typical High $64.57 | Professional | 78 · Unplanned return to OR | $47.86 | $57.54 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $23.44 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $9.33 | $15.14 | $15.14 |
Where Idaho sits
The same service costs 3.6 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· 7th of 51
$75.86
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.