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 $331.13 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $331.13 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $346.74 | Professional | TC · Technical part | $245.47 | $302.00 | $346.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $354.81 Median $676.08 Typical High $1,258.93 | Facility | None | $354.81 | $676.08 | $1,258.93 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $316.23 Median $407.38 Typical High $446.68 | Professional | None (both parts) | $316.23 | $407.38 | $446.68 |
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 $223.87 Median $295.12 Typical High $331.13 | Professional | TC · Technical part | $223.87 | $295.12 | $331.13 |
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 $162.18 Median $162.18 Typical High $501.19 | Professional | None (both parts) | $162.18 | $162.18 | $501.19 |
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 $114.82 Median $114.82 Typical High $380.19 | Professional | TC · Technical part | $114.82 | $114.82 | $380.19 |
Hally Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Professional | None | $1,122.02 | $1,122.02 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $426.58 Typical High $660.69 | Facility | None | $251.19 | $426.58 | $660.69 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $323.59 | $426.58 | $489.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $346.74 | Professional | TC · Technical part | $229.09 | $302.00 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $128.82 | Professional | None (both parts) | $33.11 | $33.11 | $128.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $407.38 | Facility | None | $93.33 | $93.33 | $407.38 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $93.33 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $93.33 | $288.40 | $478.63 |
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 $331.13 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $331.13 | $407.38 | $489.78 |
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 $234.42 Median $295.12 Typical High $346.74 | Professional | TC · Technical part | $234.42 | $295.12 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $186.21 Typical High $1,096.48 | Facility | None | $181.97 | $186.21 | $1,096.48 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $181.97 | $263.03 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $309.03 Typical High $676.08 | Professional | None (both parts) | $199.53 | $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 $147.91 Median $257.04 Typical High $537.03 | Professional | TC · Technical part | $147.91 | $257.04 | $537.03 |
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 $125.89 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $51.29 | $87.10 | $87.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $316.23 Median $363.08 Typical High $363.08 | Professional | CT · Older CT scanner | $316.23 | $363.08 | $363.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $346.74 Typical High $346.74 | Professional | FX · Film X-ray | $295.12 | $346.74 | $346.74 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $263.03 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $223.87 | $263.03 | $316.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $213.80 | $213.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $51.29 | $87.10 | $87.10 |
Where Idaho sits
The same service costs 5.1 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· 11th of 51
$407
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.