How much rates vary
Facilitymedian $1,230 · 10th to 90th $501 to $2,399Professionalmedian $617 · 10th to 90th $204 to $1,023
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 $501.19 Median $1,230.27 Typical High $1,548.82 | Facility | None | $501.19 | $1,230.27 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $436.52 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $120.23 | $346.74 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $676.08 | $676.08 |
BCBS Idaho Setting Facility Modifier None Typical Low $707.95 Median $1,412.54 Typical High $2,511.89 | Facility | None | $707.95 | $1,412.54 | $2,511.89 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $524.81 Median $616.60 Typical High $741.31 | Professional | None (both parts) | $524.81 | $616.60 | $741.31 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $208.93 Typical High $257.04 | Professional | 26 · Professional part | $177.83 | $208.93 | $257.04 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $489.78 | Professional | TC · Technical part | $346.74 | $407.38 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $1,230.27 | Facility | None | $501.19 | $1,047.13 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $870.96 | Professional | None (both parts) | $281.84 | $281.84 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $204.17 | Professional | 26 · Professional part | $91.20 | $91.20 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $630.96 | Professional | TC · Technical part | $190.55 | $190.55 | $630.96 |
Hally Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,630.27 | Professional | None | $2,344.23 | $2,344.23 | $2,630.27 |
Moda Health Setting Facility Modifier None Typical Low $549.54 Median $1,230.27 Typical High $2,884.03 | Facility | None | $549.54 | $1,230.27 | $2,884.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $707.95 Median $1,819.70 Typical High $3,019.95 | Facility | TC · Technical part | $707.95 | $1,819.70 | $3,019.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $812.83 Typical High $1,047.13 | Professional | None (both parts) | $478.63 | $812.83 | $1,047.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $257.04 Typical High $389.05 | Professional | 26 · Professional part | $134.90 | $257.04 | $389.05 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $512.86 Typical High $707.95 | Professional | TC · Technical part | $338.84 | $512.86 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $194.98 | Professional | None (both parts) | $33.11 | $33.11 | $194.98 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $660.69 | Facility | None | $173.78 | $173.78 | $660.69 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $173.78 Median $575.44 Typical High $776.25 | Professional | None (both parts) | $173.78 | $575.44 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,380.38 | Facility | None | $724.44 | $1,071.52 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $537.03 Median $676.08 Typical High $812.83 | Professional | None (both parts) | $537.03 | $676.08 | $812.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $218.78 Typical High $269.15 | Professional | 26 · Professional part | $181.97 | $218.78 | $269.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $457.09 Typical High $537.03 | Professional | TC · Technical part | $363.08 | $457.09 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $295.12 Median $302.00 Typical High $2,089.30 | Facility | None | $295.12 | $302.00 | $2,089.30 |
Select Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $812.83 | Professional | None (both parts) | $295.12 | $426.58 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $1,096.48 | Professional | None (both parts) | $316.23 | $524.81 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $223.87 | Professional | 26 · Professional part | $100.00 | $123.03 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $389.05 Typical High $851.14 | Professional | TC · Technical part | $218.78 | $389.05 | $851.14 |
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 $213.80 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $213.80 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $87.10 | $204.17 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $812.83 Typical High $812.83 | Professional | FX · Film X-ray | $478.63 | $812.83 | $812.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $426.58 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $363.08 | $426.58 | $524.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $223.87 | $512.86 | $512.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $89.13 | $204.17 | $204.17 |
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
$661
WY $1,288UT $204
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.