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 $489.78 Median $489.78 Typical High $794.33 | Facility | None | $489.78 | $489.78 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $407.38 Typical High $467.74 | Professional | None (both parts) | $239.88 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $134.90 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $134.90 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $173.78 | $275.42 | $363.08 |
BCBS Idaho Setting Facility Modifier None Typical Low $346.74 Median $660.69 Typical High $1,258.93 | Facility | None | $346.74 | $660.69 | $1,258.93 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $426.58 | Professional | None (both parts) | $302.00 | $354.81 | $426.58 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $97.72 | $114.82 | $141.25 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $288.40 | Professional | TC · Technical part | $204.17 | $239.88 | $288.40 |
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 $158.49 Median $158.49 Typical High $478.63 | Professional | None (both parts) | $158.49 | $158.49 | $478.63 |
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 $107.15 Median $107.15 Typical High $295.12 | Professional | TC · Technical part | $107.15 | $107.15 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,071.52 | Professional | None | $954.99 | $954.99 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $389.05 Median $407.38 Typical High $794.33 | Facility | None | $389.05 | $407.38 | $794.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $407.38 Typical High $467.74 | Professional | None (both parts) | $302.00 | $407.38 | $467.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $134.90 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $134.90 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $208.93 | $275.42 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $114.82 | Professional | None (both parts) | $33.11 | $33.11 | $114.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $389.05 | Facility | None | $95.50 | $95.50 | $389.05 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $95.50 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $95.50 | $288.40 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $512.86 Typical High $676.08 | Facility | None | $363.08 | $512.86 | $676.08 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $457.09 | Professional | None (both parts) | $309.03 | $389.05 | $457.09 |
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 $213.80 Median $269.15 Typical High $309.03 | Professional | TC · Technical part | $213.80 | $269.15 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $169.82 Median $173.78 Typical High $1,096.48 | Facility | None | $169.82 | $173.78 | $1,096.48 |
Select Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $169.82 | $251.19 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $676.08 | Professional | None (both parts) | $173.78 | $309.03 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $69.18 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $229.09 Typical High $537.03 | Professional | TC · Technical part | $120.23 | $229.09 | $537.03 |
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 $120.23 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $120.23 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $48.98 | $81.28 | $81.28 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $316.23 Median $346.74 Typical High $346.74 | Professional | CT · Older CT scanner | $316.23 | $346.74 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $331.13 Typical High $331.13 | Professional | FX · Film X-ray | $295.12 | $331.13 | $331.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $245.47 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $208.93 | $245.47 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $120.23 | $204.17 | $204.17 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $48.98 | $81.28 | $81.28 |
Where Idaho sits
The same service costs 5.1 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
$389
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.