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 $302.00 Median $741.31 Typical High $1,230.27 | Facility | None | $302.00 | $741.31 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $630.96 Typical High $691.83 | Professional | None (both parts) | $263.03 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $218.78 Typical High $229.09 | Professional | 26 · Professional part | $77.62 | $218.78 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $407.38 Typical High $457.09 | Professional | TC · Technical part | $186.21 | $407.38 | $457.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $446.68 Median $1,000.00 Typical High $1,737.80 | Facility | None | $446.68 | $1,000.00 | $1,737.80 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $457.09 | Professional | None (both parts) | $316.23 | $398.11 | $457.09 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $112.20 | $131.83 | $162.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $269.15 Typical High $288.40 | Professional | TC · Technical part | $204.17 | $269.15 | $288.40 |
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 $169.82 Median $169.82 Typical High $562.34 | Professional | None (both parts) | $169.82 | $169.82 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $57.54 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $398.11 | Professional | TC · Technical part | $112.20 | $112.20 | $398.11 |
Hally Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,513.56 | Professional | None | $1,348.96 | $1,348.96 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $338.84 Median $741.31 Typical High $2,398.83 | Facility | None | $338.84 | $741.31 | $2,398.83 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $1,412.54 Typical High $2,454.71 | Facility | TC · Technical part | $407.38 | $1,412.54 | $2,454.71 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $316.23 | $524.81 | $707.95 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $89.13 | $154.88 | $251.19 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $407.38 Typical High $457.09 | Professional | TC · Technical part | $208.93 | $407.38 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $117.49 | Professional | None (both parts) | $33.11 | $33.11 | $117.49 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $407.38 | Facility | None | $109.65 | $109.65 | $407.38 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $109.65 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $109.65 | $398.11 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $891.25 | Facility | None | $446.68 | $691.83 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $489.78 | Professional | None (both parts) | $331.13 | $416.87 | $489.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $173.78 | Professional | 26 · Professional part | $114.82 | $141.25 | $173.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $316.23 | Professional | TC · Technical part | $218.78 | $275.42 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $186.21 Typical High $1,288.25 | Facility | None | $181.97 | $186.21 | $1,288.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $181.97 | $263.03 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $363.08 Typical High $776.25 | Professional | None (both parts) | $194.98 | $363.08 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $79.43 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $245.47 Typical High $616.60 | Professional | TC · Technical part | $131.83 | $245.47 | $616.60 |
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 $134.90 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $134.90 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $53.70 | $125.89 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $501.19 Typical High $501.19 | Professional | FX · Film X-ray | $478.63 | $501.19 | $501.19 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $263.03 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $223.87 | $263.03 | $354.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $186.21 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $75.86 | $125.89 | $125.89 |
Where Idaho sits
The same service costs 6.6 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· 19th of 51
$417
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.