How much rates vary
Facilitymedian $437 · 10th to 90th $166 to $794Professionalmedian $240 · 10th to 90th $45 to $282
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 TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | TC · Technical part | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $128.82 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $229.09 | $229.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $213.80 Median $501.19 Typical High $794.33 | Facility | None | $213.80 | $501.19 | $794.33 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $213.80 | $251.19 | $281.84 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $38.02 | $44.67 | $50.12 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $234.42 | Professional | TC · Technical part | $173.78 | $208.93 | $234.42 |
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 $141.25 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $141.25 | $190.55 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $43.65 | Professional | 26 · Professional part | $26.92 | $35.48 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $190.55 | Professional | TC · Technical part | $114.82 | $154.88 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $302.00 | Professional | None | $269.15 | $269.15 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $275.42 Typical High $398.11 | Facility | None | $102.33 | $275.42 | $398.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $165.96 | $275.42 | $323.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $48.98 | $48.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $141.25 | $229.09 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $38.02 Median $173.78 Typical High $275.42 | Facility | None | $38.02 | $173.78 | $275.42 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $38.02 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $38.02 | $173.78 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $512.86 Typical High $660.69 | Facility | None | $346.74 | $512.86 | $660.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $218.78 | $275.42 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $46.77 | $57.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $181.97 | $229.09 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $467.74 | Facility | None | $123.03 | $123.03 | $467.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $123.03 | $177.83 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $109.65 | $138.04 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $26.30 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $109.65 | $199.53 |
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 $75.86 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $75.86 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $30.90 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $131.83 | $223.87 | $223.87 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $177.83 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $147.91 | $177.83 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $83.18 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $33.11 | $54.95 | $54.95 |
Where Idaho sits
The same service costs 4.2 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· 6th of 51
$251
AK $398UT $95.50
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.