How much rates vary
Facilitymedian $6,310 · 10th to 90th $170 to $10,965Professionalmedian $269 · 10th to 90th $170 to $363
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $346.74 | Professional | None (both parts) | $177.83 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $169.82 Typical High $177.83 | Professional | 26 · Professional part | $54.95 | $169.82 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $87.10 | $138.04 | $204.17 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,023.29 Median $6,760.83 Typical High $10,964.78 | Facility | None | $1,023.29 | $6,760.83 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $239.88 | $281.84 | $338.84 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $154.88 Typical High $165.96 | Professional | 26 · Professional part | $131.83 | $154.88 | $165.96 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $144.54 | Professional | TC · Technical part | $109.65 | $128.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $9,549.93 Typical High $17,378.01 | Facility | None | $3,890.45 | $9,549.93 | $17,378.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $194.98 | $245.47 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $151.36 | Professional | 26 · Professional part | $93.33 | $123.03 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $151.36 | Professional | TC · Technical part | $91.20 | $114.82 | $151.36 |
Hally Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $851.14 | Professional | None | $758.58 | $758.58 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $363.08 Typical High $8,317.64 | Facility | None | $309.03 | $363.08 | $8,317.64 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $181.97 | $309.03 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $141.25 Typical High $186.21 | Professional | 26 · Professional part | $54.95 | $141.25 | $186.21 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $114.82 | $138.04 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $33.11 | $33.11 | $63.10 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $107.15 Median $169.82 Typical High $309.03 | Facility | None | $107.15 | $169.82 | $309.03 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $169.82 | $257.04 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $8,709.64 Typical High $11,220.18 | Facility | None | $5,495.41 | $8,709.64 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $245.47 | $309.03 | $363.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $165.96 Typical High $199.53 | Professional | 26 · Professional part | $134.90 | $165.96 | $199.53 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $141.25 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $3,801.89 | Facility | None | $138.04 | $141.25 | $3,801.89 |
Select Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $138.04 | $199.53 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $165.96 | $208.93 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $89.13 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $281.84 | Professional | TC · Technical part | $79.43 | $125.89 | $281.84 |
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 $91.20 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $91.20 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $37.15 | $61.66 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $173.78 | $245.47 | $245.47 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $190.55 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $169.82 | $190.55 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $91.20 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $37.15 | $61.66 | $61.66 |
Where Idaho sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 11th of 51
$282
AK $468TX $115
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.