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 $213.80 Median $338.84 Typical High $426.58 | Facility | None | $213.80 | $338.84 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $165.96 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $104.71 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $104.71 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $181.97 | $218.78 |
BCBS Setting Facility Modifier None Typical Low $213.80 Median $501.19 Typical High $851.14 | Facility | None | $213.80 | $501.19 | $851.14 |
BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $213.80 | $257.04 | $302.00 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $112.20 | Professional | 26 · Professional part | $77.62 | $91.20 | $112.20 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $190.55 | Professional | TC · Technical part | $134.90 | $173.78 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $309.03 Typical High $371.54 | Facility | None | $147.91 | $309.03 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $338.84 | Professional | None (both parts) | $109.65 | $109.65 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $39.81 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $239.88 | Professional | TC · Technical part | $69.18 | $69.18 | $239.88 |
Hally Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $794.33 | Professional | None | $512.86 | $512.86 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $831.76 Typical High $1,819.70 | Facility | None | $288.40 | $831.76 | $1,819.70 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $549.54 Typical High $1,230.27 | Facility | TC · Technical part | $213.80 | $549.54 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $213.80 | $288.40 | $323.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $93.33 | $128.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $223.87 | Professional | TC · Technical part | $138.04 | $181.97 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $75.86 | Professional | None (both parts) | $33.11 | $33.11 | $75.86 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $269.15 | Facility | None | $75.86 | $75.86 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $75.86 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $75.86 | $173.78 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $398.11 | Facility | None | $213.80 | $302.00 | $398.11 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $218.78 | $269.15 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $95.50 | $117.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $204.17 | Professional | TC · Technical part | $141.25 | $177.83 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $676.08 | Facility | None | $120.23 | $123.03 | $676.08 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $120.23 | $173.78 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $426.58 | Professional | None (both parts) | $134.90 | $199.53 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $53.70 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $331.13 | Professional | TC · Technical part | $91.20 | $158.49 | $331.13 |
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 $83.18 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $83.18 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $33.11 | $57.54 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | CT · Older CT scanner | $208.93 | $245.47 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $229.09 Typical High $229.09 | Professional | FX · Film X-ray | $199.53 | $229.09 | $229.09 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $173.78 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $147.91 | $173.78 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $83.18 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $33.11 | $57.54 | $57.54 |
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· 13th of 51
$269
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.