How much rates vary
Facilitymedian $724 · 10th to 90th $355 to $1,445Professionalmedian $468 · 10th to 90th $120 to $724
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 $354.81 Median $851.14 Typical High $1,230.27 | Facility | None | $354.81 | $851.14 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $724.44 Typical High $758.58 | Professional | None (both parts) | $309.03 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $204.17 Typical High $213.80 | Professional | 26 · Professional part | $70.79 | $204.17 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $512.86 Typical High $549.54 | Professional | TC · Technical part | $223.87 | $512.86 | $549.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $426.58 Median $891.25 Typical High $1,584.89 | Facility | None | $426.58 | $891.25 | $1,584.89 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $363.08 | $426.58 | $524.81 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $147.91 | Professional | 26 · Professional part | $104.71 | $123.03 | $147.91 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $371.54 | Professional | TC · Technical part | $263.03 | $309.03 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $776.25 | Facility | None | $316.23 | $645.65 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $588.84 | Professional | None (both parts) | $199.53 | $199.53 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $53.70 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $446.68 | Professional | TC · Technical part | $144.54 | $144.54 | $446.68 |
Hally Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,412.54 | $1,412.54 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $851.14 Typical High $1,230.27 | Facility | None | $354.81 | $851.14 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $562.34 Typical High $724.44 | Professional | None (both parts) | $371.54 | $562.34 | $724.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $154.88 Typical High $204.17 | Professional | 26 · Professional part | $102.33 | $154.88 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $512.86 Typical High $562.34 | Professional | TC · Technical part | $269.15 | $512.86 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $147.91 | Professional | None (both parts) | $33.11 | $33.11 | $147.91 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $467.74 | Facility | None | $102.33 | $102.33 | $467.74 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $102.33 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $102.33 | $398.11 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $891.25 | Facility | None | $446.68 | $691.83 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $380.19 Median $478.63 Typical High $562.34 | Professional | None (both parts) | $380.19 | $478.63 | $562.34 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $128.82 | $158.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $407.38 | Professional | TC · Technical part | $275.42 | $346.74 | $407.38 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $213.80 Typical High $512.86 | Facility | None | $208.93 | $213.80 | $512.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $208.93 | $302.00 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $831.76 | Professional | None (both parts) | $223.87 | $398.11 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $56.23 | $72.44 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $316.23 Typical High $691.83 | Professional | TC · Technical part | $165.96 | $316.23 | $691.83 |
6 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 $154.88 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $154.88 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $61.66 | $144.54 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $575.44 Typical High $575.44 | Professional | FX · Film X-ray | $478.63 | $575.44 | $575.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $302.00 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $257.04 | $302.00 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $186.21 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $75.86 | $144.54 | $144.54 |
Where Idaho sits
The same service costs 5.8 times more in Wyoming 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· 15th of 51
$479
WY $912UT $158
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.