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 $229.09 Median $398.11 Typical High $794.33 | Facility | None | $229.09 | $398.11 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $194.98 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $120.23 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $125.89 | $218.78 | $288.40 |
BCBS Idaho Setting Facility Modifier None Typical Low $354.81 Median $691.83 Typical High $1,230.27 | Facility | None | $354.81 | $691.83 | $1,230.27 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $354.81 | Professional | None (both parts) | $245.47 | $288.40 | $354.81 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $125.89 | Professional | 26 · Professional part | $87.10 | $102.33 | $125.89 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $229.09 | Professional | TC · Technical part | $162.18 | $190.55 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $501.19 Typical High $602.56 | Facility | None | $245.47 | $501.19 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $398.11 | Professional | None (both parts) | $128.82 | $128.82 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $44.67 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $263.03 | Professional | TC · Technical part | $83.18 | $83.18 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | None | $851.14 | $851.14 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $537.03 Typical High $1,621.81 | Facility | None | $251.19 | $537.03 | $1,621.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $251.19 | $338.84 | $380.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $120.23 | $158.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $165.96 | $218.78 | $288.40 |
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 $87.10 Median $87.10 Typical High $316.23 | Facility | None | $87.10 | $87.10 | $316.23 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $87.10 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $87.10 | $288.40 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $512.86 Typical High $660.69 | Facility | None | $363.08 | $512.86 | $660.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $380.19 | Professional | None (both parts) | $257.04 | $323.59 | $380.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $107.15 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $245.47 | Professional | TC · Technical part | $169.82 | $213.80 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $933.25 | Facility | None | $141.25 | $144.54 | $933.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $141.25 | $204.17 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $562.34 | Professional | None (both parts) | $144.54 | $257.04 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $48.98 | $60.26 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $177.83 Typical High $426.58 | Professional | TC · Technical part | $95.50 | $177.83 | $426.58 |
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 $97.72 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $97.72 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $39.81 | $67.61 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $275.42 Median $288.40 Typical High $288.40 | Professional | CT · Older CT scanner | $275.42 | $288.40 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | FX · Film X-ray | $257.04 | $269.15 | $269.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $204.17 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $173.78 | $204.17 | $245.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $97.72 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $39.81 | $67.61 | $67.61 |
Where Idaho sits
The same service costs 5.9 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· 8th of 51
$324
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.