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 $380.19 Median $660.69 Typical High $794.33 | Facility | None | $380.19 | $660.69 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $549.54 Typical High $630.96 | Professional | None (both parts) | $323.59 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $186.21 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $186.21 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $363.08 Typical High $416.87 | Professional | TC · Technical part | $229.09 | $363.08 | $416.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $354.81 Median $831.76 Typical High $1,380.38 | Facility | None | $354.81 | $831.76 | $1,380.38 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $426.58 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $426.58 | $501.19 | $602.56 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $158.49 Typical High $194.98 | Professional | 26 · Professional part | $134.90 | $158.49 | $194.98 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $416.87 | Professional | TC · Technical part | $288.40 | $338.84 | $416.87 |
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 $229.09 Median $229.09 Typical High $707.95 | Professional | None (both parts) | $229.09 | $229.09 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $158.49 | Professional | 26 · Professional part | $69.18 | $69.18 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $524.81 | Professional | TC · Technical part | $162.18 | $162.18 | $524.81 |
Hally Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,258.93 | Professional | None | $851.14 | $851.14 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $549.54 Median $1,230.27 Typical High $2,951.21 | Facility | None | $549.54 | $1,230.27 | $2,951.21 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $724.44 Typical High $1,348.96 | Facility | TC · Technical part | $380.19 | $724.44 | $1,348.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $549.54 Typical High $691.83 | Professional | None (both parts) | $389.05 | $549.54 | $691.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $158.49 Typical High $229.09 | Professional | 26 · Professional part | $77.62 | $158.49 | $229.09 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $416.87 | Professional | TC · Technical part | $281.84 | $363.08 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $165.96 | Professional | None (both parts) | $33.11 | $33.11 | $165.96 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $537.03 | Facility | None | $131.83 | $131.83 | $537.03 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $131.83 Median $302.00 Typical High $630.96 | Professional | None (both parts) | $131.83 | $302.00 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $512.86 Typical High $707.95 | Facility | None | $363.08 | $512.86 | $707.95 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $426.58 Median $575.44 Typical High $691.83 | Professional | None (both parts) | $426.58 | $575.44 | $691.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $165.96 Typical High $208.93 | Professional | 26 · Professional part | $138.04 | $165.96 | $208.93 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $416.87 Typical High $478.63 | Professional | TC · Technical part | $331.13 | $416.87 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $245.47 Typical High $1,288.25 | Facility | None | $239.88 | $245.47 | $1,288.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $575.44 | Professional | None (both parts) | $239.88 | $346.74 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $478.63 Typical High $1,071.52 | Professional | None (both parts) | $257.04 | $478.63 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $72.44 | $93.33 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $338.84 Typical High $870.96 | Professional | TC · Technical part | $177.83 | $338.84 | $870.96 |
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 $158.49 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $158.49 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $64.57 | $109.65 | $109.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $316.23 Median $467.74 Typical High $467.74 | Professional | CT · Older CT scanner | $316.23 | $467.74 | $467.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $436.52 Typical High $436.52 | Professional | FX · Film X-ray | $295.12 | $436.52 | $436.52 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $346.74 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $295.12 | $346.74 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $162.18 | $275.42 | $275.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $64.57 | $109.65 | $109.65 |
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· 12th of 51
$537
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.