How much rates vary
Facilitymedian $427 · 10th to 90th $148 to $631Professionalmedian $245 · 10th to 90th $89 to $302
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 $223.87 Median $346.74 Typical High $346.74 | Facility | None | $223.87 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $288.40 Typical High $302.00 | Professional | None (both parts) | $125.89 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $199.53 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $199.53 | $204.17 |
BCBS Idaho Setting Facility Modifier None Typical Low $181.97 Median $436.52 Typical High $630.96 | Facility | None | $181.97 | $436.52 | $630.96 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $218.78 | $257.04 | $295.12 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $93.33 | Professional | 26 · Professional part | $69.18 | $81.28 | $93.33 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $204.17 | Professional | TC · Technical part | $147.91 | $177.83 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $602.56 Typical High $1,000.00 | Facility | None | $245.47 | $602.56 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $158.49 | $204.17 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $46.77 | $63.10 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $169.82 | Professional | TC · Technical part | $107.15 | $141.25 | $169.82 |
Hally Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | None | $354.81 | $354.81 | $426.58 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $467.74 Typical High $676.08 | Facility | None | $223.87 | $467.74 | $676.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $134.90 | $288.40 | $338.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $74.13 | $91.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $181.97 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $181.97 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $33.11 | $33.11 | $72.44 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $69.18 Median $147.91 Typical High $281.84 | Facility | None | $69.18 | $147.91 | $281.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $69.18 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $69.18 | $154.88 | $331.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $501.19 Typical High $645.65 | Facility | None | $346.74 | $501.19 | $645.65 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $229.09 | $288.40 | $338.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $107.15 | Professional | 26 · Professional part | $69.18 | $87.10 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $234.42 | Professional | TC · Technical part | $158.49 | $199.53 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $549.54 | Facility | None | $125.89 | $128.82 | $549.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $125.89 | $181.97 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $125.89 | $147.91 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $48.98 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $100.00 | $190.55 |
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 $79.43 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $79.43 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $32.36 | $58.88 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $138.04 | $234.42 | $234.42 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $181.97 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $154.88 | $181.97 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $87.10 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $34.67 | $58.88 | $58.88 |
Where Idaho sits
The same service costs 3.9 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· 7th of 51
$257
AK $407UT $105
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.