How much rates vary
Facilitymedian $832 · 10th to 90th $355 to $1,738Professionalmedian $575 · 10th to 90th $141 to $871
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 $407.38 Median $1,047.13 Typical High $1,230.27 | Facility | None | $407.38 | $1,047.13 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $380.19 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $204.17 Typical High $213.80 | Professional | 26 · Professional part | $72.44 | $204.17 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $676.08 Typical High $691.83 | Professional | TC · Technical part | $302.00 | $676.08 | $691.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $446.68 Median $977.24 Typical High $1,737.80 | Facility | None | $446.68 | $977.24 | $1,737.80 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $467.74 Median $575.44 Typical High $691.83 | Professional | None (both parts) | $467.74 | $575.44 | $691.83 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $151.36 | Professional | 26 · Professional part | $104.71 | $123.03 | $151.36 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $457.09 Typical High $537.03 | Professional | TC · Technical part | $371.54 | $457.09 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $776.25 | Facility | None | $316.23 | $645.65 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $676.08 | Professional | None (both parts) | $269.15 | $269.15 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $53.70 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $549.54 | Professional | TC · Technical part | $213.80 | $213.80 | $549.54 |
Hally Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,380.38 | $1,380.38 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $1,258.93 Typical High $2,137.96 | Facility | None | $446.68 | $1,258.93 | $2,137.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $758.58 Typical High $1,000.00 | Professional | None (both parts) | $363.08 | $758.58 | $1,000.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $154.88 Typical High $208.93 | Professional | 26 · Professional part | $100.00 | $154.88 | $208.93 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $512.86 Typical High $758.58 | Professional | TC · Technical part | $338.84 | $512.86 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $218.78 | Professional | None (both parts) | $33.11 | $33.11 | $218.78 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $630.96 | Facility | None | $102.33 | $102.33 | $630.96 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $102.33 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $102.33 | $398.11 | $741.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $891.25 | Facility | None | $446.68 | $691.83 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $512.86 Median $645.65 Typical High $758.58 | Professional | None (both parts) | $512.86 | $645.65 | $758.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $107.15 | $131.83 | $162.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $512.86 Typical High $602.56 | Professional | TC · Technical part | $407.38 | $512.86 | $602.56 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $1,230.27 | Facility | None | $281.84 | $288.40 | $1,230.27 |
Select Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $281.84 | $407.38 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $407.38 Typical High $851.14 | Professional | None (both parts) | $302.00 | $407.38 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $346.74 Typical High $724.44 | Professional | TC · Technical part | $245.47 | $346.74 | $724.44 |
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 $190.55 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $190.55 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $75.86 | $173.78 | $173.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $707.95 Typical High $707.95 | Professional | FX · Film X-ray | $478.63 | $707.95 | $707.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $407.38 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $346.74 | $407.38 | $489.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $208.93 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $83.18 | $173.78 | $173.78 |
Where Idaho sits
The same service costs 5.1 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· 13th of 51
$603
WY $1,202UT $234
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.