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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $309.03 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $363.08 | $363.08 |
BCBS Idaho Setting Facility Modifier None Typical Low $346.74 Median $660.69 Typical High $1,258.93 | Facility | None | $346.74 | $660.69 | $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 $416.87 | Professional | TC · Technical part | $288.40 | $338.84 | $416.87 |
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 $512.86 | Professional | None (both parts) | $213.80 | $213.80 | $512.86 |
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 $407.38 | Professional | TC · Technical part | $165.96 | $165.96 | $407.38 |
Hally Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Professional | None | $954.99 | $954.99 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $707.95 | Facility | None | $281.84 | $489.78 | $707.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $489.78 Typical High $616.60 | Professional | None (both parts) | $371.54 | $489.78 | $616.60 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $69.18 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $363.08 Typical High $380.19 | Professional | TC · Technical part | $295.12 | $363.08 | $380.19 |
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 $380.19 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $380.19 | $524.81 | $616.60 |
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 $323.59 Median $407.38 Typical High $478.63 | Professional | TC · Technical part | $323.59 | $407.38 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $223.87 Typical High $1,148.15 | Facility | None | $218.78 | $223.87 | $1,148.15 |
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 $239.88 Median $309.03 Typical High $676.08 | Professional | None (both parts) | $239.88 | $309.03 | $676.08 |
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 $186.21 Median $257.04 Typical High $549.54 | Professional | TC · Technical part | $186.21 | $257.04 | $549.54 |
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 $380.19 | Professional | 78 · Unplanned return to OR | $269.15 | $316.23 | $380.19 |
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· 12th of 51
$447
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.