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 None Typical Low $194.98 Median $338.84 Typical High $426.58 | Facility | None | $194.98 | $338.84 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $281.84 Typical High $323.59 | Professional | None (both parts) | $165.96 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $91.20 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $91.20 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $223.87 | Professional | TC · Technical part | $120.23 | $190.55 | $223.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $213.80 Median $478.63 Typical High $851.14 | Facility | None | $213.80 | $478.63 | $851.14 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $208.93 | $245.47 | $295.12 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $66.07 | $77.62 | $95.50 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $141.25 | $165.96 | $199.53 |
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 $107.15 Median $107.15 Typical High $338.84 | Professional | None (both parts) | $107.15 | $107.15 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $33.88 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $239.88 | Professional | TC · Technical part | $74.13 | $74.13 | $239.88 |
Hally Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | None | $512.86 | $512.86 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $630.96 Typical High $1,318.26 | Facility | None | $281.84 | $630.96 | $1,318.26 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $660.69 Typical High $1,230.27 | Facility | TC · Technical part | $229.09 | $660.69 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $213.80 | $281.84 | $478.63 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $43.65 | $91.20 | $144.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $223.87 | Professional | TC · Technical part | $144.54 | $190.55 | $223.87 |
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 $64.57 Median $64.57 Typical High $269.15 | Facility | None | $64.57 | $64.57 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $64.57 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $64.57 | $173.78 | $316.23 |
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 $218.78 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $218.78 | $269.15 | $316.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $67.61 | $81.28 | $102.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $218.78 | Professional | TC · Technical part | $147.91 | $186.21 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $645.65 | Facility | None | $120.23 | $123.03 | $645.65 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $120.23 | $173.78 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $213.80 Typical High $467.74 | Professional | None (both parts) | $120.23 | $213.80 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $46.77 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $147.91 Typical High $354.81 | Professional | TC · Technical part | $83.18 | $147.91 | $354.81 |
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 $83.18 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $83.18 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $33.11 | $56.23 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | CT · Older CT scanner | $213.80 | $239.88 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $204.17 | $223.87 | $223.87 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $173.78 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $147.91 | $173.78 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $83.18 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $33.11 | $56.23 | $56.23 |
Where Idaho sits
The same service costs 4.9 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· 11th of 51
$269
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.