How much rates vary
Facilitymedian $631 · 10th to 90th $275 to $1,259Professionalmedian $603 · 10th to 90th $214 to $871
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 $398.11 Median $724.44 Typical High $794.33 | Facility | None | $398.11 | $724.44 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $616.60 Typical High $707.95 | Professional | None (both parts) | $416.87 | $616.60 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $251.19 Typical High $257.04 | Professional | 26 · Professional part | $109.65 | $251.19 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $416.87 | Professional | TC · Technical part | $309.03 | $363.08 | $416.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $354.81 Median $831.76 Typical High $1,258.93 | Facility | None | $354.81 | $831.76 | $1,258.93 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $467.74 Median $549.54 Typical High $870.96 | Professional | None (both parts) | $467.74 | $549.54 | $870.96 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $213.80 Typical High $263.03 | Professional | 26 · Professional part | $181.97 | $213.80 | $263.03 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $645.65 | Professional | TC · Technical part | $288.40 | $338.84 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $501.19 Typical High $602.56 | Facility | None | $245.47 | $501.19 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $794.33 | Professional | None (both parts) | $346.74 | $346.74 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $213.80 | Professional | 26 · Professional part | $93.33 | $93.33 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $588.84 | Professional | TC · Technical part | $251.19 | $251.19 | $588.84 |
Hally Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Professional | None | $1,479.11 | $1,479.11 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $794.33 Typical High $2,454.71 | Facility | None | $436.52 | $794.33 | $2,454.71 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $776.25 Typical High $1,445.44 | Facility | TC · Technical part | $363.08 | $776.25 | $1,445.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $616.60 Typical High $1,023.29 | Professional | None (both parts) | $457.09 | $616.60 | $1,023.29 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $223.87 Typical High $269.15 | Professional | 26 · Professional part | $114.82 | $223.87 | $269.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $363.08 Typical High $602.56 | Professional | TC · Technical part | $346.74 | $363.08 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $165.96 | Professional | None (both parts) | $33.11 | $33.11 | $165.96 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $602.56 | Facility | None | $181.97 | $181.97 | $602.56 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $181.97 Median $338.84 Typical High $707.95 | Professional | None (both parts) | $181.97 | $338.84 | $707.95 |
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 $630.96 Median $870.96 Typical High $1,023.29 | Professional | None (both parts) | $630.96 | $870.96 | $1,023.29 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $229.09 Typical High $281.84 | Professional | 26 · Professional part | $186.21 | $229.09 | $281.84 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $645.65 Typical High $741.31 | Professional | TC · Technical part | $436.52 | $645.65 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $269.15 Median $275.42 Typical High $1,380.38 | Facility | None | $269.15 | $275.42 | $1,380.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $269.15 | $416.87 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $380.19 | $478.63 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $125.89 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $676.08 | Professional | TC · Technical part | $281.84 | $346.74 | $676.08 |
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 $177.83 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $177.83 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $70.79 | $123.03 | $123.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $489.78 Typical High $489.78 | Professional | FX · Film X-ray | $316.23 | $489.78 | $489.78 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $389.05 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $331.13 | $389.05 | $512.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $177.83 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $70.79 | $123.03 | $123.03 |
Where Idaho sits
The same service costs 6.8 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· 15th of 51
$603
AK $1,148UT $170
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.