How much rates vary
Facilitymedian $724 · 10th to 90th $324 to $1,479Professionalmedian $513 · 10th to 90th $132 to $851
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 $1,000.00 Median $1,000.00 Typical High $1,230.27 | Facility | None | $1,000.00 | $1,000.00 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $851.14 Typical High $891.25 | Professional | None (both parts) | $446.68 | $851.14 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $223.87 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $223.87 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $630.96 Typical High $707.95 | Professional | TC · Technical part | $302.00 | $630.96 | $707.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $426.58 Median $851.14 Typical High $1,584.89 | Facility | None | $426.58 | $851.14 | $1,584.89 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $426.58 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $426.58 | $501.19 | $602.56 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $112.20 | $131.83 | $162.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $436.52 | Professional | TC · Technical part | $309.03 | $363.08 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $776.25 | Facility | None | $316.23 | $645.65 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $588.84 | Professional | None (both parts) | $234.42 | $234.42 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $58.88 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $446.68 | Professional | TC · Technical part | $173.78 | $173.78 | $446.68 |
Hally Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,584.89 | Professional | None | $1,445.44 | $1,445.44 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,778.28 | Facility | None | $562.34 | $912.01 | $1,778.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $660.69 Typical High $977.24 | Professional | None (both parts) | $426.58 | $660.69 | $977.24 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $109.65 | $158.49 | $223.87 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $630.96 Typical High $707.95 | Professional | TC · Technical part | $316.23 | $630.96 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $177.83 | Professional | None (both parts) | $33.11 | $33.11 | $177.83 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $537.03 | Facility | None | $112.20 | $112.20 | $537.03 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $112.20 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $112.20 | $398.11 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $891.25 | Facility | None | $446.68 | $676.08 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $446.68 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $446.68 | $562.34 | $660.69 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $173.78 | Professional | 26 · Professional part | $114.82 | $141.25 | $173.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $416.87 Typical High $489.78 | Professional | TC · Technical part | $331.13 | $416.87 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $245.47 Typical High $549.54 | Facility | None | $239.88 | $245.47 | $549.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $660.69 | Professional | None (both parts) | $239.88 | $346.74 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $269.15 | $354.81 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $79.43 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $295.12 Typical High $588.84 | Professional | TC · Technical part | $204.17 | $295.12 | $588.84 |
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 Professional Modifier 52 · Reduced service Typical Low $181.97 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $181.97 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $72.44 | $169.82 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $676.08 Typical High $676.08 | Professional | FX · Film X-ray | $478.63 | $676.08 | $676.08 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $346.74 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $295.12 | $346.74 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $186.21 | $426.58 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $75.86 | $169.82 | $169.82 |
Where Idaho sits
The same service costs 5.5 times more in Wyoming 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· 12th of 51
$537
WY $1,047UT $191
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.