How much rates vary
Facilitymedian $2,570 · 10th to 90th $170 to $10,965Professionalmedian $295 · 10th to 90th $138 to $372
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 $257.04 Median $257.04 Typical High $257.04 | Facility | TC · Technical part | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $190.55 | $316.23 | $316.23 |
Aetna 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 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $131.83 | $204.17 | $204.17 |
BCBS Idaho Setting Facility Modifier None Typical Low $467.74 Median $2,570.40 Typical High $10,964.78 | Facility | None | $467.74 | $2,570.40 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $269.15 Median $316.23 Typical High $346.74 | Professional | None (both parts) | $269.15 | $316.23 | $346.74 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $109.65 | Professional | 26 · Professional part | $89.13 | $104.71 | $109.65 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $234.42 | Professional | TC · Technical part | $181.97 | $213.80 | $234.42 |
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 $199.53 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $199.53 | $251.19 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $85.11 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $128.82 | $162.18 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $630.96 | Professional | None | $575.44 | $575.44 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $602.56 | Facility | None | $190.55 | $316.23 | $602.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $316.23 Typical High $389.05 | Professional | None (both parts) | $269.15 | $316.23 | $389.05 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $63.10 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $223.87 | Professional | TC · Technical part | $186.21 | $204.17 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $81.28 | Professional | None (both parts) | $33.11 | $33.11 | $81.28 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $117.49 Median $169.82 Typical High $346.74 | Facility | None | $117.49 | $169.82 | $346.74 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $117.49 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $117.49 | $281.84 | $407.38 |
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 $269.15 Median $338.84 Typical High $389.05 | Professional | None (both parts) | $269.15 | $338.84 | $389.05 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $91.20 | $109.65 | $134.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $251.19 | Professional | TC · Technical part | $181.97 | $229.09 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $158.49 Typical High $776.25 | Facility | None | $154.88 | $158.49 | $776.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $154.88 | $223.87 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $165.96 | $218.78 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $61.66 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $295.12 | Professional | TC · Technical part | $109.65 | $158.49 | $295.12 |
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 $95.50 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $95.50 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $38.02 | $63.10 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $257.04 Typical High $257.04 | Professional | FX · Film X-ray | $177.83 | $257.04 | $257.04 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $213.80 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $190.55 | $213.80 | $257.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $95.50 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $38.02 | $63.10 | $63.10 |
Where Idaho sits
The same service costs 4.0 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· 10th of 51
$316
AK $479TX $120
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.