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 $331.13 Median $588.84 Typical High $794.33 | Facility | None | $331.13 | $588.84 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $489.78 Typical High $512.86 | Professional | None (both parts) | $269.15 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $169.82 Typical High $177.83 | Professional | 26 · Professional part | $70.79 | $169.82 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $354.81 | Professional | TC · Technical part | $186.21 | $323.59 | $354.81 |
BCBS Idaho Setting Facility Modifier None Typical Low $346.74 Median $660.69 Typical High $1,380.38 | Facility | None | $346.74 | $660.69 | $1,380.38 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $512.86 | Professional | None (both parts) | $363.08 | $426.58 | $512.86 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $147.91 Typical High $177.83 | Professional | 26 · Professional part | $123.03 | $147.91 | $177.83 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $331.13 | Professional | TC · Technical part | $234.42 | $275.42 | $331.13 |
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 $190.55 Median $190.55 Typical High $478.63 | Professional | None (both parts) | $190.55 | $190.55 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $64.57 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $125.89 | $302.00 |
Hally Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,023.29 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $1,445.44 | Facility | None | $371.54 | $588.84 | $1,445.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $489.78 Typical High $549.54 | Professional | None (both parts) | $338.84 | $489.78 | $549.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $154.88 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $154.88 | $177.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $323.59 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $323.59 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $134.90 | Professional | None (both parts) | $33.11 | $33.11 | $134.90 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $457.09 | Facility | None | $123.03 | $123.03 | $457.09 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $123.03 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $123.03 | $288.40 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $512.86 Typical High $660.69 | Facility | None | $346.74 | $512.86 | $660.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $346.74 | $467.74 | $549.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $154.88 Typical High $190.55 | Professional | 26 · Professional part | $125.89 | $154.88 | $190.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $363.08 | Professional | TC · Technical part | $245.47 | $309.03 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $208.93 Typical High $1,230.27 | Facility | None | $204.17 | $208.93 | $1,230.27 |
Select Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $204.17 | $295.12 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $660.69 | Professional | None (both parts) | $213.80 | $302.00 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $60.26 | $87.10 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $512.86 | Professional | TC · Technical part | $141.25 | $239.88 | $512.86 |
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 $144.54 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $144.54 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $57.54 | $97.72 | $97.72 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $316.23 Median $416.87 Typical High $416.87 | Professional | CT · Older CT scanner | $316.23 | $416.87 | $416.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $295.12 | $398.11 | $398.11 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $295.12 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $251.19 | $295.12 | $354.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $144.54 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $57.54 | $97.72 | $97.72 |
Where Idaho sits
The same service costs 6.3 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· 9th of 51
$427
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.