How much rates vary
Facilitymedian $1,318 · 10th to 90th $537 to $3,162Professionalmedian $646 · 10th to 90th $200 to $1,072
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 $588.84 Median $1,288.25 Typical High $1,348.96 | Facility | None | $588.84 | $1,288.25 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $446.68 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $331.13 Typical High $338.84 | Professional | 26 · Professional part | $117.49 | $331.13 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $302.00 | $758.58 | $758.58 |
BCBS Idaho Setting Facility Modifier None Typical Low $707.95 Median $1,412.54 Typical High $2,511.89 | Facility | None | $707.95 | $1,412.54 | $2,511.89 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $549.54 Median $645.65 Typical High $1,023.29 | Professional | None (both parts) | $549.54 | $645.65 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $199.53 Typical High $239.88 | Professional | 26 · Professional part | $169.82 | $199.53 | $239.88 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $457.09 Typical High $776.25 | Professional | TC · Technical part | $380.19 | $457.09 | $776.25 |
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 $295.12 Median $295.12 Typical High $954.99 | Professional | None (both parts) | $295.12 | $295.12 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $199.53 | Professional | 26 · Professional part | $87.10 | $87.10 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $707.95 | Professional | TC · Technical part | $208.93 | $208.93 | $707.95 |
Hally Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $1,071.52 Median $3,019.95 Typical High $3,467.37 | Facility | None | $1,071.52 | $3,019.95 | $3,467.37 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $1,445.44 Typical High $3,019.95 | Facility | TC · Technical part | $380.19 | $1,445.44 | $3,019.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $851.14 Typical High $1,230.27 | Professional | None (both parts) | $478.63 | $851.14 | $1,230.27 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $234.42 Typical High $380.19 | Professional | 26 · Professional part | $109.65 | $234.42 | $380.19 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $524.81 Typical High $776.25 | Professional | TC · Technical part | $338.84 | $524.81 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $213.80 | Professional | None (both parts) | $33.11 | $33.11 | $213.80 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $707.95 | Facility | None | $165.96 | $165.96 | $707.95 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $165.96 Median $575.44 Typical High $831.76 | Professional | None (both parts) | $165.96 | $575.44 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,380.38 | Facility | None | $724.44 | $1,071.52 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $549.54 Median $707.95 Typical High $851.14 | Professional | None (both parts) | $549.54 | $707.95 | $851.14 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $208.93 Typical High $263.03 | Professional | 26 · Professional part | $173.78 | $208.93 | $263.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $588.84 | Professional | TC · Technical part | $398.11 | $501.19 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $316.23 Typical High $2,089.30 | Facility | None | $309.03 | $316.23 | $2,089.30 |
Select Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $309.03 | $457.09 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $575.44 Typical High $1,202.26 | Professional | None (both parts) | $338.84 | $575.44 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $208.93 | Professional | 26 · Professional part | $93.33 | $117.49 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $457.09 Typical High $954.99 | Professional | TC · Technical part | $239.88 | $457.09 | $954.99 |
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 $229.09 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $229.09 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $91.20 | $218.78 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $870.96 Typical High $870.96 | Professional | FX · Film X-ray | $478.63 | $870.96 | $870.96 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $446.68 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $380.19 | $446.68 | $707.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $234.42 | $537.03 | $537.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $93.33 | $218.78 | $218.78 |
Where Idaho sits
The same service costs 5.8 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· 12th of 51
$708
WY $1,349UT $234
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.