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 $588.84 Median $588.84 Typical High $794.33 | Facility | None | $588.84 | $588.84 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $512.86 | Professional | None (both parts) | $309.03 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $128.82 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $128.82 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $380.19 | Professional | TC · Technical part | $245.47 | $363.08 | $380.19 |
BCBS Idaho Setting Facility Modifier None Typical Low $346.74 Median $707.95 Typical High $1,258.93 | Facility | None | $346.74 | $707.95 | $1,258.93 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $549.54 | Professional | None (both parts) | $380.19 | $446.68 | $549.54 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $93.33 | $109.65 | $134.90 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $426.58 | Professional | TC · Technical part | $288.40 | $338.84 | $426.58 |
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 $213.80 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $213.80 | $213.80 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $47.86 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $165.96 | $389.05 |
Hally Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,202.26 | Professional | None | $1,071.52 | $1,071.52 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $588.84 Typical High $707.95 | Facility | None | $436.52 | $588.84 | $707.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $630.96 | Professional | None (both parts) | $389.05 | $489.78 | $630.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $363.08 Typical High $416.87 | Professional | TC · Technical part | $288.40 | $363.08 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $165.96 | Professional | None (both parts) | $33.11 | $33.11 | $165.96 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $489.78 | Facility | None | $93.33 | $93.33 | $489.78 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $93.33 Median $288.40 Typical High $575.44 | Professional | None (both parts) | $93.33 | $288.40 | $575.44 |
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 $389.05 Median $537.03 Typical High $630.96 | Professional | None (both parts) | $389.05 | $537.03 | $630.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $117.49 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $416.87 Typical High $489.78 | Professional | TC · Technical part | $331.13 | $416.87 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $223.87 Typical High $1,230.27 | Facility | None | $218.78 | $223.87 | $1,230.27 |
Select Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $218.78 | $316.23 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $309.03 Typical High $630.96 | Professional | None (both parts) | $234.42 | $309.03 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $50.12 | $66.07 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $501.19 | Professional | TC · Technical part | $181.97 | $251.19 | $501.19 |
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 $144.54 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $144.54 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $57.54 | $100.00 | $100.00 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $316.23 Median $416.87 Typical High $416.87 | Professional | CT · Older CT scanner | $316.23 | $416.87 | $416.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $295.12 | $398.11 | $398.11 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $316.23 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $269.15 | $316.23 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $144.54 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $57.54 | $100.00 | $100.00 |
Where Idaho sits
The same service costs 5.0 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· 14th of 51
$457
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.