How much rates vary
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 Professional Modifier None (both parts) Typical Low $186.21 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $186.21 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $114.82 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $125.89 | $190.55 | $190.55 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,096.48 Median $6,760.83 Typical High $10,964.78 | Facility | None | $1,096.48 | $6,760.83 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $354.81 | Professional | None (both parts) | $245.47 | $288.40 | $354.81 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $109.65 | Professional | 26 · Professional part | $87.10 | $102.33 | $109.65 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $218.78 | Professional | TC · Technical part | $158.49 | $186.21 | $218.78 |
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 $288.40 | Professional | None (both parts) | $194.98 | $245.47 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $83.18 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $123.03 | $154.88 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $630.96 | Professional | None | $562.34 | $562.34 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $602.56 | Facility | None | $186.21 | $309.03 | $602.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $251.19 | $309.03 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $74.13 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $194.98 | Professional | TC · Technical part | $144.54 | $190.55 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $75.86 | Professional | None (both parts) | $33.11 | $33.11 | $75.86 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $316.23 | Facility | None | $120.23 | $158.49 | $316.23 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $120.23 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $120.23 | $263.03 | $371.54 |
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 $257.04 Median $316.23 Typical High $371.54 | Professional | None (both parts) | $257.04 | $316.23 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $109.65 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $234.42 | Professional | TC · Technical part | $165.96 | $204.17 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $3,890.45 | Facility | None | $141.25 | $144.54 | $3,890.45 |
Select Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $141.25 | $204.17 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $165.96 | $199.53 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $61.66 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $107.15 | $144.54 | $269.15 |
7 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 Facility Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $93.33 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $38.02 | $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 $173.78 Median $190.55 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $173.78 | $190.55 | $245.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $93.33 | $151.36 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $38.02 | $61.66 | $61.66 |
Where Idaho sits
The same service costs 4.4 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· 14th of 51
$288
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.