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 $407.38 Median $676.08 Typical High $794.33 | Facility | None | $407.38 | $676.08 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $562.34 Typical High $602.56 | Professional | None (both parts) | $371.54 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $91.20 | $199.53 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $363.08 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $363.08 | $416.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $346.74 Median $741.31 Typical High $1,380.38 | Facility | None | $346.74 | $741.31 | $1,380.38 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $436.52 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $436.52 | $512.86 | $707.95 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $169.82 Typical High $208.93 | Professional | 26 · Professional part | $144.54 | $169.82 | $208.93 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $288.40 | $338.84 | $501.19 |
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 $275.42 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $275.42 | $275.42 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $74.13 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $489.78 | Professional | TC · Technical part | $199.53 | $199.53 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,258.93 | Professional | None | $1,148.15 | $1,148.15 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $1,621.81 | Facility | None | $562.34 | $676.08 | $1,621.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $562.34 Typical High $812.83 | Professional | None (both parts) | $371.54 | $562.34 | $812.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $181.97 Typical High $204.17 | Professional | 26 · Professional part | $91.20 | $181.97 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $467.74 | Professional | TC · Technical part | $281.84 | $363.08 | $467.74 |
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 $144.54 Median $144.54 Typical High $549.54 | Facility | None | $144.54 | $144.54 | $549.54 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $144.54 Median $309.03 Typical High $660.69 | Professional | None (both parts) | $144.54 | $309.03 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $512.86 Typical High $660.69 | Facility | None | $346.74 | $512.86 | $660.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $501.19 Median $676.08 Typical High $812.83 | Professional | None (both parts) | $501.19 | $676.08 | $812.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $181.97 Typical High $223.87 | Professional | 26 · Professional part | $147.91 | $181.97 | $223.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $501.19 Typical High $588.84 | Professional | TC · Technical part | $346.74 | $501.19 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $251.19 Typical High $1,288.25 | Facility | None | $245.47 | $251.19 | $1,288.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $363.08 Typical High $676.08 | Professional | None (both parts) | $245.47 | $363.08 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $831.76 | Professional | None (both parts) | $309.03 | $398.11 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $100.00 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $645.65 | Professional | TC · Technical part | $223.87 | $302.00 | $645.65 |
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 $165.96 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $165.96 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $66.07 | $112.20 | $112.20 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $316.23 Median $478.63 Typical High $478.63 | Professional | CT · Older CT scanner | $316.23 | $478.63 | $478.63 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $446.68 Typical High $446.68 | Professional | FX · Film X-ray | $295.12 | $446.68 | $446.68 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $354.81 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $302.00 | $354.81 | $489.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $165.96 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $66.07 | $112.20 | $112.20 |
Where Idaho sits
The same service costs 6.2 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
$550
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.