How much rates vary
Facilitymedian $661 · 10th to 90th $288 to $2,291Professionalmedian $661 · 10th to 90th $245 to $2,884
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 $316.23 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $316.23 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $489.78 Typical High $489.78 | Professional | 26 · Professional part | $141.25 | $489.78 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $245.47 | $524.81 | $524.81 |
BCBS Idaho Setting Facility Modifier None Typical Low $363.08 Median $1,047.13 Typical High $2,290.87 | Facility | None | $363.08 | $1,047.13 | $2,290.87 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $2,884.03 | Professional | None (both parts) | $257.04 | $389.05 | $2,884.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $309.03 Typical High $371.54 | Professional | 26 · Professional part | $257.04 | $309.03 | $371.54 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $489.78 Typical High $2,570.40 | Professional | TC · Technical part | $288.40 | $489.78 | $2,570.40 |
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 $1,548.82 Median $2,041.74 Typical High $2,511.89 | Professional | None (both parts) | $1,548.82 | $2,041.74 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $245.47 Typical High $295.12 | Professional | 26 · Professional part | $186.21 | $245.47 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,819.70 Typical High $2,187.76 | Professional | TC · Technical part | $1,380.38 | $1,819.70 | $2,187.76 |
Hally Health Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,073.80 | Professional | None | $3,715.35 | $3,715.35 | $4,073.80 |
Moda Health Setting Facility Modifier None Typical Low $275.42 Median $933.25 Typical High $2,691.53 | Facility | None | $275.42 | $933.25 | $2,691.53 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $316.23 | $660.69 | $660.69 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $354.81 Typical High $489.78 | Professional | 26 · Professional part | $177.83 | $354.81 | $489.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $245.47 | $524.81 | $524.81 |
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 $245.47 Median $245.47 Typical High $707.95 | Facility | None | $245.47 | $245.47 | $707.95 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $831.76 | Professional | None (both parts) | $245.47 | $288.40 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $512.86 Typical High $724.44 | Facility | None | $346.74 | $512.86 | $724.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $2,041.74 | $2,884.03 | $2,884.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $316.23 Typical High $389.05 | Professional | 26 · Professional part | $263.03 | $316.23 | $389.05 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $1,819.70 | $2,570.40 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $3,715.35 | Facility | None | $316.23 | $316.23 | $3,715.35 |
Select Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $8,511.38 | Professional | None (both parts) | $316.23 | $436.52 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $371.54 Typical High $954.99 | Professional | None (both parts) | $295.12 | $371.54 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $177.83 Typical High $316.23 | Professional | 26 · Professional part | $138.04 | $177.83 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $707.95 | Professional | TC · Technical part | $154.88 | $218.78 | $707.95 |
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 $151.36 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $151.36 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $60.26 | $131.83 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $524.81 Typical High $524.81 | Professional | FX · Film X-ray | $478.63 | $524.81 | $524.81 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $213.80 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $181.97 | $213.80 | $407.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $158.49 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $63.10 | $131.83 | $131.83 |
Where Idaho sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 19th of 51
$661
WY $3,715WA $275
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.