How much rates vary
Facilitymedian $6,310 · 10th to 90th $132 to $10,965Professionalmedian $240 · 10th to 90th $132 to $316
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 $181.97 Median $181.97 Typical High $181.97 | Facility | TC · Technical part | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $154.88 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $141.25 Typical High $162.18 | Professional | TC · Technical part | $87.10 | $141.25 | $162.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $602.56 Median $6,760.83 Typical High $10,964.78 | Facility | None | $602.56 | $6,760.83 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $208.93 | $245.47 | $295.12 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $120.23 | Professional | 26 · Professional part | $97.72 | $114.82 | $120.23 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $151.36 | Professional | TC · Technical part | $112.20 | $131.83 | $151.36 |
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 $169.82 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $169.82 | $213.80 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $114.82 | Professional | 26 · Professional part | $72.44 | $93.33 | $114.82 |
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 $512.86 Median $512.86 Typical High $562.34 | Professional | None | $512.86 | $512.86 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $616.60 | Facility | None | $162.18 | $263.03 | $616.60 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $316.23 | Professional | None (both parts) | $208.93 | $263.03 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $81.28 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $109.65 | $141.25 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $33.11 | $33.11 | $56.23 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $269.15 | Facility | None | $109.65 | $131.83 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $131.83 | $223.87 | $316.23 |
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 $213.80 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $213.80 | $269.15 | $316.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $120.23 | $147.91 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $117.49 | $144.54 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $588.84 | Facility | None | $120.23 | $123.03 | $588.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $263.03 | Professional | None (both parts) | $120.23 | $173.78 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $144.54 | $190.55 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $67.61 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $81.28 | $123.03 | $239.88 |
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 $81.28 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $81.28 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $32.36 | $53.70 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $151.36 | $213.80 | $213.80 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $162.18 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $147.91 | $162.18 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $81.28 | $131.83 | $131.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $32.36 | $53.70 | $53.70 |
Where Idaho sits
The same service costs 5.4 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
$245
AK $407UT $75.86
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.