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 $331.13 Median $602.56 Typical High $758.58 | Facility | None | $331.13 | $602.56 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $501.19 Typical High $537.03 | Professional | None (both parts) | $288.40 | $501.19 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $134.90 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $134.90 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $363.08 Typical High $398.11 | Professional | TC · Technical part | $218.78 | $363.08 | $398.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $346.74 Median $758.58 Typical High $1,230.27 | Facility | None | $346.74 | $758.58 | $1,230.27 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $537.03 | Professional | None (both parts) | $371.54 | $436.52 | $537.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $97.72 | $114.82 | $141.25 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $323.59 Typical High $389.05 | Professional | TC · Technical part | $275.42 | $323.59 | $389.05 |
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 $194.98 Median $194.98 Typical High $446.68 | Professional | None (both parts) | $194.98 | $194.98 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $50.12 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $346.74 | Professional | TC · Technical part | $144.54 | $144.54 | $346.74 |
Hally Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | None | $912.01 | $912.01 | $1,000.00 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $1,949.84 | Facility | None | $363.08 | $758.58 | $1,949.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $501.19 Typical High $588.84 | Professional | None (both parts) | $323.59 | $501.19 | $588.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $128.82 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $346.74 Typical High $416.87 | Professional | TC · Technical part | $251.19 | $346.74 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $158.49 | Professional | None (both parts) | $33.11 | $33.11 | $158.49 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $478.63 | Facility | None | $95.50 | $95.50 | $478.63 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $95.50 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $95.50 | $288.40 | $562.34 |
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 $363.08 Median $489.78 Typical High $588.84 | Professional | None (both parts) | $363.08 | $489.78 | $588.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $123.03 | $151.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $371.54 Typical High $436.52 | Professional | TC · Technical part | $288.40 | $371.54 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $218.78 Typical High $954.99 | Facility | None | $213.80 | $218.78 | $954.99 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $588.84 | Professional | None (both parts) | $213.80 | $309.03 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $213.80 | $281.84 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $69.18 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $218.78 | $436.52 |
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 $141.25 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $141.25 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $57.54 | $100.00 | $100.00 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $288.40 Median $426.58 Typical High $426.58 | Professional | CT · Older CT scanner | $288.40 | $426.58 | $426.58 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $269.15 | $398.11 | $398.11 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $309.03 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $263.03 | $309.03 | $371.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $144.54 | $251.19 | $251.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $58.88 | $100.00 | $100.00 |
Where Idaho sits
The same service costs 4.5 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· 9th of 51
$437
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.