How much rates vary
Facilitymedian $1,259 · 10th to 90th $603 to $1,905Professionalmedian $1,479 · 10th to 90th $219 to $2,818
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $630.96 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $154.88 | $467.74 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $562.34 | $1,412.54 | $1,412.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $660.69 Median $1,288.25 Typical High $1,905.46 | Facility | None | $660.69 | $1,288.25 | $1,905.46 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $257.04 Median $851.14 Typical High $2,818.38 | Professional | None (both parts) | $257.04 | $851.14 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $302.00 Typical High $354.81 | Professional | 26 · Professional part | $257.04 | $302.00 | $354.81 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,479.11 Typical High $2,511.89 | Professional | TC · Technical part | $776.25 | $1,479.11 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,380.38 Typical High $1,621.81 | Facility | None | $660.69 | $1,380.38 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,137.96 Typical High $2,398.83 | Professional | None (both parts) | $1,548.82 | $2,137.96 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $245.47 Typical High $281.84 | Professional | 26 · Professional part | $186.21 | $245.47 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,905.46 Typical High $2,089.30 | Professional | TC · Technical part | $1,412.54 | $1,905.46 | $2,089.30 |
Hally Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $602.56 | Professional | None | $549.54 | $549.54 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $660.69 Median $1,548.82 Typical High $2,398.83 | Facility | None | $660.69 | $1,548.82 | $2,398.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $660.69 | $1,548.82 | $1,548.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $190.55 | $467.74 | $467.74 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $588.84 | $1,412.54 | $1,412.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $1,479.11 | Facility | None | $218.78 | $218.78 | $1,479.11 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $218.78 Median $831.76 Typical High $1,737.80 | Professional | None (both parts) | $218.78 | $831.76 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $1,949.84 | Facility | None | $794.33 | $1,318.26 | $1,949.84 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,818.38 Typical High $2,884.03 | Professional | None (both parts) | $1,995.26 | $2,818.38 | $2,884.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $309.03 Typical High $371.54 | Professional | 26 · Professional part | $251.19 | $309.03 | $371.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $2,511.89 Typical High $2,570.40 | Professional | TC · Technical part | $1,737.80 | $2,511.89 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $660.69 Typical High $724.44 | Facility | None | $602.56 | $660.69 | $724.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $912.01 Typical High $8,511.38 | Professional | None (both parts) | $660.69 | $912.01 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $676.08 Typical High $1,023.29 | Professional | None (both parts) | $323.59 | $676.08 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $173.78 Typical High $309.03 | Professional | 26 · Professional part | $141.25 | $173.78 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $426.58 Typical High $851.14 | Professional | TC · Technical part | $177.83 | $426.58 | $851.14 |
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 $316.23 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $316.23 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $128.82 | $309.03 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $616.60 Median $1,258.93 Typical High $1,258.93 | Professional | FX · Film X-ray | $616.60 | $1,258.93 | $1,258.93 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $213.80 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $181.97 | $213.80 | $1,071.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $331.13 | $776.25 | $776.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $131.83 | $309.03 | $309.03 |
Where Idaho sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 7th of 51
$1,479
WY $3,467HI $282
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.