How much rates vary
Facilitymedian $2,570 · 10th to 90th $129 to $10,965Professionalmedian $245 · 10th to 90th $126 to $324
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 $204.17 Median $204.17 Typical High $204.17 | Facility | TC · Technical part | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $165.96 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $107.15 | $158.49 | $158.49 |
BCBS Idaho Setting Facility Modifier None Typical Low $616.60 Median $2,570.40 Typical High $10,964.78 | Facility | None | $616.60 | $2,570.40 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $218.78 | $257.04 | $309.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $107.15 | Professional | 26 · Professional part | $85.11 | $100.00 | $107.15 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $177.83 | Professional | TC · Technical part | $134.90 | $158.49 | $177.83 |
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 $173.78 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $173.78 | $218.78 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $100.00 | Professional | 26 · Professional part | $63.10 | $81.28 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $173.78 | Professional | TC · Technical part | $104.71 | $131.83 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $588.84 | Professional | None | $524.81 | $524.81 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $602.56 | Facility | None | $165.96 | $269.15 | $602.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $204.17 | $269.15 | $323.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $165.96 | Professional | TC · Technical part | $138.04 | $158.49 | $165.96 |
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 $112.20 Median $131.83 Typical High $281.84 | Facility | None | $112.20 | $131.83 | $281.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $112.20 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $112.20 | $234.42 | $331.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,884.03 Median $7,585.78 Typical High $11,220.18 | Facility | None | $2,884.03 | $7,585.78 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $223.87 | $275.42 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $107.15 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $194.98 | Professional | TC · Technical part | $138.04 | $169.82 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $676.08 | Facility | None | $125.89 | $128.82 | $676.08 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $125.89 | $181.97 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $147.91 | $199.53 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $60.26 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $91.20 | $138.04 | $269.15 |
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 $83.18 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $83.18 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $33.11 | $53.70 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $154.88 | $218.78 | $218.78 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $169.82 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $154.88 | $169.82 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $83.18 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $33.11 | $53.70 | $53.70 |
Where Idaho sits
The same service costs 4.3 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
$257
AK $407UT $95.50
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.