How much rates vary
Facilitymedian $1,072 · 10th to 90th $309 to $1,905Professionalmedian $646 · 10th to 90th $162 to $1,072
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,071.52 Typical High $1,202.26 | Professional | None (both parts) | $478.63 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $269.15 Typical High $309.03 | Professional | 26 · Professional part | $109.65 | $269.15 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $794.33 Typical High $912.01 | Professional | TC · Technical part | $346.74 | $794.33 | $912.01 |
BCBS Idaho Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $1,905.46 | Facility | None | $776.25 | $1,659.59 | $1,905.46 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $549.54 Median $645.65 Typical High $776.25 | Professional | None (both parts) | $549.54 | $645.65 | $776.25 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $162.18 Typical High $199.53 | Professional | 26 · Professional part | $138.04 | $162.18 | $199.53 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $478.63 Typical High $575.44 | Professional | TC · Technical part | $407.38 | $478.63 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $912.01 | Facility | None | $363.08 | $758.58 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $741.31 | Professional | None (both parts) | $295.12 | $295.12 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $70.79 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $575.44 | Professional | TC · Technical part | $223.87 | $223.87 | $575.44 |
Hally Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,737.80 | $1,737.80 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $1,230.27 | Facility | None | $588.84 | $977.24 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $851.14 Typical High $1,071.52 | Professional | None (both parts) | $501.19 | $851.14 | $1,071.52 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $190.55 Typical High $269.15 | Professional | 26 · Professional part | $134.90 | $190.55 | $269.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $794.33 Typical High $912.01 | Professional | TC · Technical part | $363.08 | $794.33 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $234.42 | Professional | None (both parts) | $33.11 | $33.11 | $234.42 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $707.95 | Facility | None | $138.04 | $138.04 | $707.95 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $138.04 Median $389.05 Typical High $831.76 | Professional | None (both parts) | $138.04 | $389.05 | $831.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $575.44 Median $707.95 Typical High $851.14 | Professional | None (both parts) | $575.44 | $707.95 | $851.14 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $169.82 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $169.82 | $213.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $537.03 Typical High $630.96 | Professional | TC · Technical part | $436.52 | $537.03 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $316.23 Typical High $1,479.11 | Facility | None | $309.03 | $316.23 | $1,479.11 |
Select Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $309.03 | $457.09 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $446.68 Typical High $954.99 | Professional | None (both parts) | $331.13 | $446.68 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $74.13 | $95.50 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $371.54 Typical High $776.25 | Professional | TC · Technical part | $257.04 | $371.54 | $776.25 |
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 $229.09 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $229.09 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $91.20 | $213.80 | $213.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $851.14 Typical High $851.14 | Professional | FX · Film X-ray | $478.63 | $851.14 | $851.14 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $446.68 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $380.19 | $446.68 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $234.42 | $537.03 | $537.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $93.33 | $213.80 | $213.80 |
Where Idaho sits
The same service costs 5.6 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 $1,380UT $245
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.