How much rates vary
Facilitymedian $1,698 · 10th to 90th $100 to $2,754Professionalmedian $200 · 10th to 90th $85 to $257
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 Professional Modifier None (both parts) Typical Low $141.25 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $141.25 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $50.12 | $95.50 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $89.13 | $144.54 | $144.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $363.08 Median $1,905.46 Typical High $2,754.23 | Facility | None | $363.08 | $1,905.46 | $2,754.23 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $169.82 | $199.53 | $251.19 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $83.18 | $102.33 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $117.49 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $2,398.83 Typical High $4,365.16 | Facility | None | $977.24 | $2,398.83 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $208.93 | Professional | None (both parts) | $131.83 | $181.97 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $69.18 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $107.15 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | None | $478.63 | $478.63 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $346.74 | Facility | None | $141.25 | $239.88 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $162.18 | $239.88 | $288.40 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $100.00 | $144.54 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $33.11 | $33.11 | $57.54 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $218.78 | Facility | None | $72.44 | $72.44 | $218.78 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $72.44 Median $218.78 Typical High $257.04 | Professional | None (both parts) | $72.44 | $218.78 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $2,818.38 | Facility | None | $1,380.38 | $2,137.96 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $177.83 | $218.78 | $288.40 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $70.79 | $87.10 | $112.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $173.78 | Professional | TC · Technical part | $104.71 | $134.90 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $100.00 Typical High $389.05 | Facility | None | $97.72 | $100.00 | $389.05 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $97.72 | $141.25 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $114.82 | $131.83 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $44.67 | $51.29 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $89.13 | $162.18 |
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 Facility Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | FX · Film X-ray | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $69.18 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $28.18 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $112.20 | $190.55 | $190.55 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $141.25 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $120.23 | $141.25 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $69.18 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $28.18 | $47.86 | $47.86 |
Where Idaho sits
The same service costs 4.6 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· 6th of 51
$219
AK $347UT $75.86
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.