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 $251.19 Median $436.52 Typical High $794.33 | Facility | None | $251.19 | $436.52 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $371.54 Typical High $416.87 | Professional | None (both parts) | $213.80 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $123.03 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $123.03 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $245.47 Typical High $281.84 | Professional | TC · Technical part | $144.54 | $245.47 | $281.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $346.74 Median $660.69 Typical High $1,230.27 | Facility | None | $346.74 | $660.69 | $1,230.27 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $389.05 | Professional | None (both parts) | $269.15 | $354.81 | $389.05 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $128.82 | Professional | 26 · Professional part | $89.13 | $104.71 | $128.82 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $275.42 | Professional | TC · Technical part | $181.97 | $239.88 | $275.42 |
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 $141.25 Median $141.25 Typical High $407.38 | Professional | None (both parts) | $141.25 | $141.25 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $309.03 | Professional | TC · Technical part | $95.50 | $95.50 | $309.03 |
Hally Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $794.33 | Professional | None | $724.44 | $724.44 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $1,905.46 | Facility | None | $275.42 | $549.54 | $1,905.46 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $371.54 Typical High $416.87 | Professional | None (both parts) | $218.78 | $371.54 | $416.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $112.20 | $125.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $245.47 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | None (both parts) | $33.11 | $33.11 | $102.33 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $346.74 | Facility | None | $89.13 | $89.13 | $346.74 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $89.13 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $89.13 | $288.40 | $407.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $512.86 Typical High $660.69 | Facility | None | $363.08 | $512.86 | $660.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $416.87 | Professional | None (both parts) | $281.84 | $354.81 | $416.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $138.04 | Professional | 26 · Professional part | $91.20 | $112.20 | $138.04 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $275.42 | Professional | TC · Technical part | $190.55 | $239.88 | $275.42 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $158.49 Typical High $891.25 | Facility | None | $154.88 | $158.49 | $891.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $154.88 | $223.87 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $165.96 | $245.47 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $194.98 Typical High $416.87 | Professional | TC · Technical part | $117.49 | $194.98 | $416.87 |
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 $109.65 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $109.65 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $43.65 | $74.13 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $263.03 Median $316.23 Typical High $316.23 | Professional | CT · Older CT scanner | $263.03 | $316.23 | $316.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $295.12 Typical High $295.12 | Professional | FX · Film X-ray | $245.47 | $295.12 | $295.12 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $223.87 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $190.55 | $223.87 | $269.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $109.65 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $43.65 | $74.13 | $74.13 |
Where Idaho sits
The same service costs 5.4 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
$347
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.