How much rates vary
Facilitymedian $6,310 · 10th to 90th $182 to $10,965Professionalmedian $295 · 10th to 90th $182 to $389
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $380.19 | Professional | None (both parts) | $194.98 | $331.13 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $64.57 | $190.55 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $91.20 | $141.25 | $234.42 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,174.90 Median $6,760.83 Typical High $10,964.78 | Facility | None | $1,174.90 | $6,760.83 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $263.03 | $309.03 | $371.54 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $173.78 Typical High $186.21 | Professional | 26 · Professional part | $147.91 | $173.78 | $186.21 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $154.88 | Professional | TC · Technical part | $117.49 | $138.04 | $154.88 |
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 $213.80 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $213.80 | $269.15 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $169.82 | Professional | 26 · Professional part | $107.15 | $138.04 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $154.88 | Professional | TC · Technical part | $93.33 | $117.49 | $154.88 |
Hally Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $660.69 | Professional | None | $602.56 | $602.56 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $616.60 | Facility | None | $199.53 | $331.13 | $616.60 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $389.05 | Professional | None (both parts) | $245.47 | $331.13 | $389.05 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $169.82 Typical High $199.53 | Professional | 26 · Professional part | $66.07 | $169.82 | $199.53 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $141.25 | $234.42 |
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 $112.20 Median $181.97 Typical High $338.84 | Facility | None | $112.20 | $181.97 | $338.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $181.97 | $281.84 | $398.11 |
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 $269.15 Median $331.13 Typical High $389.05 | Professional | None (both parts) | $269.15 | $331.13 | $389.05 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $186.21 Typical High $223.87 | Professional | 26 · Professional part | $151.36 | $186.21 | $223.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $169.82 | Professional | TC · Technical part | $120.23 | $147.91 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $3,801.89 | Facility | None | $151.36 | $154.88 | $3,801.89 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $151.36 | $218.78 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $177.83 | $245.47 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $100.00 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $338.84 | Professional | TC · Technical part | $81.28 | $128.82 | $338.84 |
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 $97.72 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $97.72 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $39.81 | $66.07 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $269.15 Typical High $269.15 | Professional | FX · Film X-ray | $186.21 | $269.15 | $269.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $208.93 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $186.21 | $208.93 | $257.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $97.72 | $165.96 | $165.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $39.81 | $66.07 | $66.07 |
Where Idaho sits
The same service costs 5.1 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· 13th of 51
$309
AK $513UT $100
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.