How much rates vary
Facilitymedian $776 · 10th to 90th $355 to $1,445Professionalmedian $589 · 10th to 90th $129 to $891
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 $407.38 Median $1,071.52 Typical High $1,230.27 | Facility | None | $407.38 | $1,071.52 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $891.25 Typical High $933.25 | Professional | None (both parts) | $398.11 | $891.25 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $218.78 Typical High $229.09 | Professional | 26 · Professional part | $77.62 | $218.78 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $676.08 Typical High $707.95 | Professional | TC · Technical part | $316.23 | $676.08 | $707.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $446.68 Median $891.25 Typical High $1,584.89 | Facility | None | $446.68 | $891.25 | $1,584.89 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $478.63 Median $588.84 Typical High $741.31 | Professional | None (both parts) | $478.63 | $588.84 | $741.31 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $112.20 | $131.83 | $162.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $457.09 Typical High $588.84 | Professional | TC · Technical part | $371.54 | $457.09 | $588.84 |
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 $302.00 Median $302.00 Typical High $741.31 | Professional | None (both parts) | $302.00 | $302.00 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $57.54 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $616.60 | Professional | TC · Technical part | $239.88 | $239.88 | $616.60 |
Hally Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,584.89 | Professional | None | $1,445.44 | $1,445.44 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $891.25 Typical High $1,230.27 | Facility | None | $407.38 | $891.25 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $478.63 | $851.14 | $1,023.29 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $186.21 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $186.21 | $251.19 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $630.96 Typical High $741.31 | Professional | TC · Technical part | $338.84 | $630.96 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $223.87 | Professional | None (both parts) | $33.11 | $33.11 | $223.87 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $645.65 | Facility | None | $109.65 | $109.65 | $645.65 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $109.65 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $109.65 | $398.11 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $891.25 | Facility | None | $446.68 | $676.08 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $549.54 Median $707.95 Typical High $851.14 | Professional | None (both parts) | $549.54 | $707.95 | $851.14 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $173.78 | Professional | 26 · Professional part | $114.82 | $141.25 | $173.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $575.44 Typical High $676.08 | Professional | TC · Technical part | $446.68 | $575.44 | $676.08 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $295.12 Typical High $1,174.90 | Facility | None | $288.40 | $295.12 | $1,174.90 |
Select Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $707.95 | Professional | None (both parts) | $288.40 | $416.87 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $457.09 Typical High $954.99 | Professional | None (both parts) | $338.84 | $457.09 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $79.43 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $812.83 | Professional | TC · Technical part | $275.42 | $398.11 | $812.83 |
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 $199.53 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $199.53 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $79.43 | $177.83 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $707.95 Typical High $707.95 | Professional | FX · Film X-ray | $478.63 | $707.95 | $707.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $416.87 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $354.81 | $416.87 | $512.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $213.80 | $446.68 | $446.68 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $87.10 | $177.83 | $177.83 |
Where Idaho sits
The same service costs 6.3 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· 11th of 51
$631
WY $1,349UT $214
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.