How much rates vary
Facilitymedian $1,318 · 10th to 90th $501 to $3,162Professionalmedian $603 · 10th to 90th $204 to $1,023
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 $478.63 Median $1,202.26 Typical High $1,258.93 | Facility | None | $478.63 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $426.58 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $346.74 Typical High $354.81 | Professional | 26 · Professional part | $120.23 | $346.74 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $676.08 Typical High $691.83 | Professional | TC · Technical part | $288.40 | $676.08 | $691.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $707.95 Median $1,412.54 Typical High $2,511.89 | Facility | None | $707.95 | $1,412.54 | $2,511.89 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $512.86 Median $602.56 Typical High $741.31 | Professional | None (both parts) | $512.86 | $602.56 | $741.31 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $208.93 Typical High $257.04 | Professional | 26 · Professional part | $177.83 | $208.93 | $257.04 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $478.63 | Professional | TC · Technical part | $338.84 | $398.11 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $1,230.27 | Facility | None | $501.19 | $1,047.13 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $933.25 | Professional | None (both parts) | $275.42 | $275.42 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $204.17 | Professional | 26 · Professional part | $91.20 | $91.20 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $630.96 | Professional | TC · Technical part | $186.21 | $186.21 | $630.96 |
Hally Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,202.26 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $851.14 Median $2,570.40 Typical High $3,548.13 | Facility | None | $851.14 | $2,570.40 | $3,548.13 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $1,513.56 Typical High $3,019.95 | Facility | TC · Technical part | $616.60 | $1,513.56 | $3,019.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $794.33 Typical High $1,148.15 | Professional | None (both parts) | $478.63 | $794.33 | $1,148.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $263.03 Typical High $389.05 | Professional | 26 · Professional part | $141.25 | $263.03 | $389.05 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $501.19 Typical High $724.44 | Professional | TC · Technical part | $338.84 | $501.19 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $194.98 | Professional | None (both parts) | $33.11 | $33.11 | $194.98 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $660.69 | Facility | None | $173.78 | $173.78 | $660.69 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $173.78 Median $575.44 Typical High $776.25 | Professional | None (both parts) | $173.78 | $575.44 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,380.38 | Facility | None | $724.44 | $1,071.52 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $537.03 Median $676.08 Typical High $794.33 | Professional | None (both parts) | $537.03 | $676.08 | $794.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $218.78 Typical High $269.15 | Professional | 26 · Professional part | $181.97 | $218.78 | $269.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $457.09 Typical High $524.81 | Professional | TC · Technical part | $363.08 | $457.09 | $524.81 |
Select Health Setting Facility Modifier None Typical Low $295.12 Median $302.00 Typical High $1,905.46 | Facility | None | $295.12 | $302.00 | $1,905.46 |
Select Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $295.12 | $426.58 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $562.34 Typical High $1,174.90 | Professional | None (both parts) | $316.23 | $562.34 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $218.78 | Professional | 26 · Professional part | $97.72 | $123.03 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $389.05 Typical High $933.25 | Professional | TC · Technical part | $213.80 | $389.05 | $933.25 |
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 $213.80 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $213.80 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $85.11 | $204.17 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $812.83 Typical High $812.83 | Professional | FX · Film X-ray | $478.63 | $812.83 | $812.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $426.58 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $363.08 | $426.58 | $575.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $218.78 | $512.86 | $512.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $89.13 | $204.17 | $204.17 |
Where Idaho sits
The same service costs 6.6 times more in Vermont 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
$661
VT $1,349UT $204
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.