How much rates vary
Facilitymedian $1,622 · 10th to 90th $135 to $2,754Professionalmedian $257 · 10th to 90th $120 to $339
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 $177.83 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $177.83 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $138.04 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $199.53 | $199.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $380.19 Median $1,905.46 Typical High $2,754.23 | Facility | None | $380.19 | $1,905.46 | $2,754.23 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $218.78 | $257.04 | $346.74 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $102.33 | $120.23 | $151.36 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $117.49 | $138.04 | $204.17 |
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 $186.21 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $186.21 | $234.42 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $120.23 | Professional | 26 · Professional part | $75.86 | $100.00 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $151.36 | Professional | TC · Technical part | $100.00 | $125.89 | $151.36 |
Hally Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | None | $467.74 | $467.74 | $512.86 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $338.84 Typical High $501.19 | Facility | None | $147.91 | $338.84 | $501.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $177.83 | $338.84 | $398.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $199.53 Typical High $218.78 | Professional | TC · Technical part | $102.33 | $199.53 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $33.11 | $33.11 | $67.61 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $281.84 | Facility | None | $104.71 | $104.71 | $281.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $104.71 Median $281.84 Typical High $331.13 | Professional | None (both parts) | $104.71 | $281.84 | $331.13 |
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 $251.19 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $251.19 | $316.23 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $131.83 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $234.42 | Professional | TC · Technical part | $144.54 | $181.97 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $389.05 | Facility | None | $125.89 | $128.82 | $389.05 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $125.89 | $181.97 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $144.54 | $208.93 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $72.44 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $269.15 | Professional | TC · Technical part | $75.86 | $112.20 | $269.15 |
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 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $87.10 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $35.48 | $67.61 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $269.15 Typical High $269.15 | Professional | FX · Film X-ray | $165.96 | $269.15 | $269.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $181.97 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $154.88 | $181.97 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $93.33 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $37.15 | $67.61 | $67.61 |
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· 8th of 51
$282
AK $447UT $97.72
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.