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 $323.59 Median $724.44 Typical High $912.01 | Facility | None | $323.59 | $724.44 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $251.19 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $223.87 Typical High $257.04 | Professional | 26 · Professional part | $79.43 | $223.87 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $380.19 Typical High $436.52 | Professional | TC · Technical part | $173.78 | $380.19 | $436.52 |
BCBS Idaho Setting Facility Modifier None Typical Low $446.68 Median $977.24 Typical High $1,659.59 | Facility | None | $446.68 | $977.24 | $1,659.59 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $446.68 | Professional | None (both parts) | $309.03 | $371.54 | $446.68 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $165.96 | Professional | 26 · Professional part | $114.82 | $134.90 | $165.96 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $275.42 | Professional | TC · Technical part | $194.98 | $229.09 | $275.42 |
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 $165.96 Median $165.96 Typical High $575.44 | Professional | None (both parts) | $165.96 | $165.96 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $58.88 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $398.11 | Professional | TC · Technical part | $107.15 | $107.15 | $398.11 |
Hally Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $891.25 Typical High $1,995.26 | Facility | None | $602.56 | $891.25 | $1,995.26 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $741.31 Typical High $2,290.87 | Facility | TC · Technical part | $331.13 | $741.31 | $2,290.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $691.83 | Professional | None (both parts) | $316.23 | $524.81 | $691.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $154.88 Typical High $257.04 | Professional | 26 · Professional part | $79.43 | $154.88 | $257.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $371.54 Typical High $436.52 | Professional | TC · Technical part | $199.53 | $371.54 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $112.20 | Professional | None (both parts) | $33.11 | $33.11 | $112.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $398.11 | Facility | None | $112.20 | $112.20 | $398.11 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $112.20 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $112.20 | $398.11 | $467.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $891.25 | Facility | None | $446.68 | $691.83 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $323.59 | $398.11 | $478.63 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $114.82 | $141.25 | $177.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $257.04 Typical High $302.00 | Professional | TC · Technical part | $208.93 | $257.04 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $181.97 Typical High $1,258.93 | Facility | None | $177.83 | $181.97 | $1,258.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $177.83 | $257.04 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $354.81 Typical High $776.25 | Professional | None (both parts) | $186.21 | $354.81 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $79.43 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $229.09 Typical High $616.60 | Professional | TC · Technical part | $123.03 | $229.09 | $616.60 |
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 $131.83 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $131.83 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $52.48 | $120.23 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $489.78 Typical High $489.78 | Professional | FX · Film X-ray | $478.63 | $489.78 | $489.78 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $257.04 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $218.78 | $257.04 | $346.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $144.54 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $75.86 | $120.23 | $120.23 |
Where Idaho sits
The same service costs 6.5 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· 21st of 51
$398
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.