How much rates vary
Facilitymedian $427 · 10th to 90th $105 to $832Professionalmedian $204 · 10th to 90th $76 to $234
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 $162.18 Median $162.18 Typical High $162.18 | Facility | TC · Technical part | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $102.33 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $40.74 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $128.82 | $128.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $112.20 Median $426.58 Typical High $831.76 | Facility | None | $112.20 | $426.58 | $831.76 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $234.42 | Professional | None (both parts) | $181.97 | $213.80 | $234.42 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $91.20 | Professional | 26 · Professional part | $69.18 | $81.28 | $91.20 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $131.83 | $144.54 |
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 $120.23 Median $154.88 Typical High $190.55 | Professional | None (both parts) | $120.23 | $154.88 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $61.66 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $114.82 | Professional | TC · Technical part | $74.13 | $93.33 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | None | $338.84 | $338.84 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $213.80 Typical High $302.00 | Facility | None | $131.83 | $213.80 | $302.00 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $131.83 | $213.80 | $263.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $128.82 Typical High $138.04 | Professional | TC · Technical part | $75.86 | $128.82 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $33.11 | $33.11 | $53.70 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $64.57 Median $109.65 Typical High $234.42 | Facility | None | $64.57 | $109.65 | $234.42 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $64.57 Median $128.82 Typical High $275.42 | Professional | None (both parts) | $64.57 | $128.82 | $275.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $851.14 | Facility | None | $398.11 | $602.56 | $851.14 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $186.21 | $223.87 | $263.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $69.18 | $85.11 | $100.00 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $158.49 | Professional | TC · Technical part | $117.49 | $141.25 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $316.23 | Facility | None | $104.71 | $104.71 | $316.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $104.71 | $151.36 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $93.33 | $114.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $45.71 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $52.48 | $69.18 | $123.03 |
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 $64.57 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $64.57 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $25.70 | $42.66 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $169.82 Typical High $169.82 | Professional | FX · Film X-ray | $104.71 | $169.82 | $169.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $151.36 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $125.89 | $151.36 | $177.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $66.07 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $26.30 | $42.66 | $42.66 |
Where Idaho sits
The same service costs 4.4 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· 5th of 51
$214
AK $324UT $74.13
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.