How much rates vary
Facilitymedian $1,072 · 10th to 90th $468 to $1,738Professionalmedian $525 · 10th to 90th $145 to $832
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 $354.81 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $354.81 | $831.76 | $831.76 |
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 $257.04 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $257.04 | $588.84 | $588.84 |
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 $426.58 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $426.58 | $524.81 | $602.56 |
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 $302.00 Median $363.08 Typical High $426.58 | Professional | TC · Technical part | $302.00 | $363.08 | $426.58 |
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 $229.09 Median $229.09 Typical High $676.08 | Professional | None (both parts) | $229.09 | $229.09 | $676.08 |
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 $165.96 Median $165.96 Typical High $524.81 | Professional | TC · Technical part | $165.96 | $165.96 | $524.81 |
Hally Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,737.80 | Professional | None | $1,548.82 | $1,548.82 | $1,737.80 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $831.76 Typical High $1,202.26 | Facility | None | $354.81 | $831.76 | $1,202.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $660.69 Typical High $831.76 | Professional | None (both parts) | $426.58 | $660.69 | $831.76 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $169.82 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $169.82 | $245.47 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $562.34 Typical High $588.84 | Professional | TC · Technical part | $309.03 | $562.34 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $169.82 | Professional | None (both parts) | $33.11 | $33.11 | $169.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $549.54 | Facility | None | $123.03 | $123.03 | $549.54 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $123.03 Median $549.54 Typical High $645.65 | Professional | None (both parts) | $123.03 | $549.54 | $645.65 |
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 $446.68 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $446.68 | $562.34 | $660.69 |
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 $316.23 Median $398.11 Typical High $467.74 | Professional | TC · Technical part | $316.23 | $398.11 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $1,258.93 | Facility | None | $245.47 | $245.47 | $1,258.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $245.47 | $354.81 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $446.68 Typical High $954.99 | Professional | None (both parts) | $263.03 | $446.68 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $87.10 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $354.81 Typical High $794.33 | Professional | TC · Technical part | $190.55 | $354.81 | $794.33 |
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 $177.83 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $177.83 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $70.79 | $165.96 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $676.08 Typical High $676.08 | Professional | FX · Film X-ray | $478.63 | $676.08 | $676.08 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $346.74 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $295.12 | $346.74 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $181.97 | $416.87 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $72.44 | $165.96 | $165.96 |
Where Idaho sits
The same service costs 5.5 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· 14th of 51
$550
WY $1,047UT $191
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.