How much rates vary
Facilitymedian $1,072 · 10th to 90th $468 to $1,738Professionalmedian $631 · 10th to 90th $145 to $1,047
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 $446.68 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $446.68 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $87.10 | $245.47 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $323.59 | $812.83 | $812.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $575.44 Median $1,258.93 Typical High $1,862.09 | Facility | None | $575.44 | $1,258.93 | $1,862.09 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $537.03 Median $630.96 Typical High $758.58 | Professional | None (both parts) | $537.03 | $630.96 | $758.58 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $147.91 Typical High $181.97 | Professional | 26 · Professional part | $125.89 | $147.91 | $181.97 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $489.78 Typical High $575.44 | Professional | TC · Technical part | $407.38 | $489.78 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $1,230.27 | Facility | None | $501.19 | $1,047.13 | $1,230.27 |
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 $64.57 Median $64.57 Typical High $147.91 | Professional | 26 · Professional part | $64.57 | $64.57 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $588.84 | Professional | TC · Technical part | $229.09 | $229.09 | $588.84 |
Hally Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,621.81 | $1,621.81 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $1,047.13 Typical High $1,230.27 | Facility | None | $457.09 | $1,047.13 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $831.76 Typical High $1,047.13 | Professional | None (both parts) | $549.54 | $831.76 | $1,047.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $416.87 | $812.83 | $812.83 |
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 $123.03 Median $123.03 Typical High $691.83 | Facility | None | $123.03 | $123.03 | $691.83 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $123.03 Median $575.44 Typical High $812.83 | Professional | None (both parts) | $123.03 | $575.44 | $812.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,380.38 | Facility | None | $707.95 | $1,071.52 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $549.54 Median $707.95 Typical High $831.76 | Professional | None (both parts) | $549.54 | $707.95 | $831.76 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $154.88 Typical High $190.55 | Professional | 26 · Professional part | $125.89 | $154.88 | $190.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $549.54 Typical High $645.65 | Professional | TC · Technical part | $426.58 | $549.54 | $645.65 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $1,348.96 | Facility | None | $309.03 | $309.03 | $1,348.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $691.83 | Professional | None (both parts) | $309.03 | $446.68 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $954.99 | Professional | None (both parts) | $338.84 | $446.68 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $89.13 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $776.25 | Professional | TC · Technical part | $263.03 | $380.19 | $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 $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $229.09 | $524.81 | $524.81 |
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 $371.54 Median $446.68 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $371.54 | $446.68 | $537.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $229.09 | $524.81 | $524.81 |
Moda Health 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 |
Where Idaho sits
The same service costs 5.4 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· 10th of 51
$676
WY $1,318UT $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.