How much rates vary
Facilitymedian $380 · 10th to 90th $174 to $912Professionalmedian $302 · 10th to 90th $115 to $398
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 $263.03 Median $416.87 Typical High $524.81 | Facility | None | $263.03 | $416.87 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $354.81 Typical High $398.11 | Professional | None (both parts) | $204.17 | $354.81 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $134.90 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $245.47 | Professional | TC · Technical part | $125.89 | $213.80 | $245.47 |
BCBS Idaho Setting Facility Modifier None Typical Low $213.80 Median $478.63 Typical High $891.25 | Facility | None | $213.80 | $478.63 | $891.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $257.04 | $302.00 | $371.54 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $144.54 | Professional | 26 · Professional part | $100.00 | $117.49 | $144.54 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $223.87 | Professional | TC · Technical part | $158.49 | $186.21 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $309.03 Typical High $371.54 | Facility | None | $147.91 | $309.03 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $407.38 | Professional | None (both parts) | $134.90 | $134.90 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $50.12 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $83.18 | $281.84 |
Hally Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $741.31 | Professional | None | $616.60 | $616.60 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $501.19 Typical High $1,513.56 | Facility | None | $263.03 | $501.19 | $1,513.56 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $630.96 Typical High $1,230.27 | Facility | TC · Technical part | $229.09 | $630.96 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $354.81 Typical High $398.11 | Professional | None (both parts) | $257.04 | $354.81 | $398.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $131.83 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $245.47 | Professional | TC · Technical part | $162.18 | $213.80 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $91.20 | Professional | None (both parts) | $33.11 | $33.11 | $91.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $331.13 | Facility | None | $97.72 | $97.72 | $331.13 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $97.72 Median $186.21 Typical High $389.05 | Professional | None (both parts) | $97.72 | $186.21 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $398.11 | Facility | None | $213.80 | $302.00 | $398.11 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $269.15 | $338.84 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $123.03 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $245.47 | Professional | TC · Technical part | $169.82 | $208.93 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $151.36 Typical High $954.99 | Facility | None | $147.91 | $151.36 | $954.99 |
Select Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $147.91 | $213.80 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $562.34 | Professional | None (both parts) | $173.78 | $257.04 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $53.70 | $69.18 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $204.17 Typical High $436.52 | Professional | TC · Technical part | $117.49 | $204.17 | $436.52 |
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 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 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $40.74 | $70.79 | $70.79 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $302.00 Typical High $302.00 | Professional | CT · Older CT scanner | $218.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $281.84 Typical High $281.84 | Professional | FX · Film X-ray | $208.93 | $281.84 | $281.84 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $213.80 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $181.97 | $213.80 | $257.04 |
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 $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $40.74 | $70.79 | $70.79 |
Where Idaho sits
The same service costs 6.2 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· 12th of 51
$316
AK $646UT $105
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.