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 $389.05 Median $660.69 Typical High $794.33 | Facility | None | $389.05 | $660.69 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $562.34 Typical High $630.96 | Professional | None (both parts) | $338.84 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $190.55 Typical High $218.78 | Professional | 26 · Professional part | $89.13 | $190.55 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $416.87 | Professional | TC · Technical part | $234.42 | $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 $616.60 | Professional | None (both parts) | $426.58 | $501.19 | $616.60 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $165.96 Typical High $204.17 | Professional | 26 · Professional part | $141.25 | $165.96 | $204.17 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $426.58 | Professional | TC · Technical part | $288.40 | $338.84 | $426.58 |
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 $234.42 Median $234.42 Typical High $616.60 | Professional | None (both parts) | $234.42 | $234.42 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $72.44 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $489.78 | Professional | TC · Technical part | $162.18 | $162.18 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,318.26 | Professional | None | $1,258.93 | $1,258.93 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $1,698.24 Typical High $2,884.03 | Facility | None | $562.34 | $1,698.24 | $2,884.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $812.83 Typical High $1,737.80 | Facility | TC · Technical part | $416.87 | $812.83 | $1,737.80 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $389.05 | $562.34 | $707.95 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $144.54 Typical High $281.84 | Professional | 26 · Professional part | $83.18 | $144.54 | $281.84 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $416.87 | Professional | TC · Technical part | $309.03 | $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 $138.04 Median $138.04 Typical High $549.54 | Facility | None | $138.04 | $138.04 | $549.54 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $138.04 Median $309.03 Typical High $645.65 | Professional | None (both parts) | $138.04 | $309.03 | $645.65 |
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 $446.68 Median $588.84 Typical High $707.95 | Professional | None (both parts) | $446.68 | $588.84 | $707.95 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $173.78 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $173.78 | $213.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $416.87 Typical High $489.78 | Professional | TC · Technical part | $331.13 | $416.87 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $251.19 Typical High $1,148.15 | Facility | None | $245.47 | $251.19 | $1,148.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $245.47 | $354.81 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $263.03 | $380.19 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $97.72 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $630.96 | Professional | TC · Technical part | $181.97 | $302.00 | $630.96 |
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 $162.18 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $162.18 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $64.57 | $112.20 | $112.20 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $316.23 Median $478.63 Typical High $478.63 | Professional | CT · Older CT scanner | $316.23 | $478.63 | $478.63 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $446.68 Typical High $446.68 | Professional | FX · Film X-ray | $295.12 | $446.68 | $446.68 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $354.81 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $302.00 | $354.81 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $162.18 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $64.57 | $112.20 | $112.20 |
Where Idaho sits
The same service costs 12.3 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· 10th of 51
$550
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.