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 $295.12 Median $478.63 Typical High $616.60 | Facility | None | $295.12 | $478.63 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $407.38 Typical High $446.68 | Professional | None (both parts) | $213.80 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $181.97 Typical High $194.98 | Professional | 26 · Professional part | $81.28 | $181.97 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $223.87 Typical High $251.19 | Professional | TC · Technical part | $131.83 | $223.87 | $251.19 |
BCBS Idaho Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $1,548.82 | Facility | None | $407.38 | $870.96 | $1,548.82 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $426.58 | Professional | None (both parts) | $302.00 | $354.81 | $426.58 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $158.49 Typical High $194.98 | Professional | 26 · Professional part | $134.90 | $158.49 | $194.98 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $234.42 | Professional | TC · Technical part | $165.96 | $194.98 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $776.25 | Facility | None | $316.23 | $645.65 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $154.88 | $154.88 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $69.18 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $85.11 | $199.53 |
Hally Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,230.27 | Professional | None | $870.96 | $870.96 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $1,737.80 Typical High $2,951.21 | Facility | None | $407.38 | $1,737.80 | $2,951.21 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $1,479.11 Typical High $2,754.23 | Facility | TC · Technical part | $239.88 | $1,479.11 | $2,754.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $467.74 | Professional | None (both parts) | $223.87 | $407.38 | $467.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $158.49 Typical High $218.78 | Professional | 26 · Professional part | $81.28 | $158.49 | $218.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $208.93 Typical High $251.19 | Professional | TC · Technical part | $138.04 | $208.93 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $95.50 | Professional | None (both parts) | $33.11 | $33.11 | $95.50 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $389.05 | Facility | None | $131.83 | $131.83 | $389.05 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $131.83 Median $389.05 Typical High $457.09 | Professional | None (both parts) | $131.83 | $389.05 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $891.25 | Facility | None | $446.68 | $676.08 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $457.09 | Professional | None (both parts) | $309.03 | $389.05 | $457.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $165.96 Typical High $208.93 | Professional | 26 · Professional part | $134.90 | $165.96 | $208.93 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $251.19 | Professional | TC · Technical part | $173.78 | $218.78 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $169.82 Median $173.78 Typical High $501.19 | Facility | None | $169.82 | $173.78 | $501.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $169.82 | $251.19 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $173.78 | $213.80 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $70.79 | $93.33 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $120.23 | $263.03 |
3 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 CT · Older CT scanner Typical Low $218.78 Median $346.74 Typical High $346.74 | Professional | CT · Older CT scanner | $218.78 | $346.74 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $323.59 Typical High $323.59 | Professional | FX · Film X-ray | $208.93 | $323.59 | $323.59 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $245.47 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $208.93 | $245.47 | $302.00 |
Where Idaho sits
The same service costs 18.2 times more in Vermont 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
$389
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.