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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $257.04 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $134.90 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $190.55 | $309.03 | $309.03 |
BCBS Idaho Setting Facility Modifier None Typical Low $346.74 Median $660.69 Typical High $1,258.93 | Facility | None | $346.74 | $660.69 | $1,258.93 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $457.09 | Professional | None (both parts) | $323.59 | $416.87 | $457.09 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $97.72 | $114.82 | $141.25 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $295.12 Typical High $331.13 | Professional | TC · Technical part | $223.87 | $295.12 | $331.13 |
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 $165.96 Median $165.96 Typical High $501.19 | Professional | None (both parts) | $165.96 | $165.96 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $50.12 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $389.05 | Professional | TC · Technical part | $117.49 | $117.49 | $389.05 |
Hally Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,202.26 | Professional | None | $1,096.48 | $1,096.48 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $457.09 Typical High $724.44 | Facility | None | $257.04 | $457.09 | $724.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $436.52 Typical High $501.19 | Professional | None (both parts) | $323.59 | $436.52 | $501.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $77.62 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $229.09 | $309.03 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $128.82 | Professional | None (both parts) | $33.11 | $33.11 | $128.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $416.87 | Facility | None | $95.50 | $95.50 | $416.87 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $95.50 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $95.50 | $288.40 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $512.86 Typical High $676.08 | Facility | None | $363.08 | $512.86 | $676.08 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $501.19 | Professional | None (both parts) | $338.84 | $416.87 | $501.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $123.03 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $346.74 | Professional | TC · Technical part | $234.42 | $295.12 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $1,148.15 | Facility | None | $186.21 | $186.21 | $1,148.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $186.21 | $269.15 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $199.53 | $302.00 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $69.18 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $512.86 | Professional | TC · Technical part | $144.54 | $251.19 | $512.86 |
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 $128.82 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $128.82 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $52.48 | $87.10 | $87.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | CT · Older CT scanner | $316.23 | $371.54 | $371.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $354.81 Typical High $354.81 | Professional | FX · Film X-ray | $295.12 | $354.81 | $354.81 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $263.03 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $223.87 | $263.03 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $128.82 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $52.48 | $87.10 | $87.10 |
Where Idaho sits
The same service costs 5.2 times more in Alaska 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· 9th of 51
$417
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.