How much rates vary
Facilitymedian $2,455 · 10th to 90th $110 to $5,495Professionalmedian $219 · 10th to 90th $112 to $288
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 $173.78 Median $173.78 Typical High $173.78 | Facility | TC · Technical part | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $141.25 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $100.00 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $173.78 | Professional | TC · Technical part | $83.18 | $131.83 | $173.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $537.03 Median $2,511.89 Typical High $5,495.41 | Facility | None | $537.03 | $2,511.89 | $5,495.41 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $194.98 | $229.09 | $269.15 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $107.15 | Professional | 26 · Professional part | $87.10 | $102.33 | $107.15 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $138.04 | Professional | TC · Technical part | $107.15 | $125.89 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,905.46 | $4,786.30 | $8,709.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $239.88 | Professional | None (both parts) | $154.88 | $194.98 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $81.28 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $87.10 | $109.65 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | None | $630.96 | $630.96 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $602.56 | Facility | None | $147.91 | $245.47 | $602.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $190.55 | $245.47 | $288.40 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $104.71 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $104.71 | $117.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $173.78 | Professional | TC · Technical part | $102.33 | $131.83 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | None (both parts) | $33.11 | $33.11 | $48.98 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $97.72 Median $102.33 Typical High $245.47 | Facility | None | $97.72 | $102.33 | $245.47 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $97.72 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $97.72 | $204.17 | $288.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $5,623.41 | Facility | None | $2,344.23 | $3,801.89 | $5,623.41 |
Regence BlueShield 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 |
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 $107.15 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $107.15 | $134.90 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $575.44 | Facility | None | $109.65 | $112.20 | $575.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $109.65 | $158.49 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $131.83 | $186.21 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $60.26 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $75.86 | $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 $74.13 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $29.51 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $138.04 | $194.98 | $194.98 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $151.36 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $134.90 | $151.36 | $186.21 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $74.13 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $29.51 | $48.98 | $48.98 |
Where Idaho sits
The same service costs 4.8 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
$229
AK $363UT $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.