How much rates vary
Facilitymedian $1,413 · 10th to 90th $115 to $2,570Professionalmedian $191 · 10th to 90th $69 to $240
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 $138.04 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $138.04 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $147.91 | $147.91 |
BCBS Idaho Setting Facility Modifier None Typical Low $467.74 Median $1,698.24 Typical High $2,570.40 | Facility | None | $467.74 | $1,698.24 | $2,570.40 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $169.82 | $204.17 | $245.47 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $64.57 | $67.61 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $158.49 | Professional | TC · Technical part | $117.49 | $138.04 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,819.70 Typical High $3,467.37 | Facility | None | $741.31 | $1,819.70 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $125.89 | $177.83 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $38.90 | $50.12 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $144.54 | Professional | TC · Technical part | $87.10 | $123.03 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $478.63 | Professional | None | $426.58 | $426.58 | $478.63 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $218.78 Typical High $309.03 | Facility | None | $83.18 | $218.78 | $309.03 |
Moda Health 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 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $147.91 | $147.91 |
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 $58.88 Median $117.49 Typical High $218.78 | Facility | None | $58.88 | $117.49 | $218.78 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $58.88 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $58.88 | $186.21 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,047.13 | $1,737.80 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $177.83 | $218.78 | $263.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $67.61 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $177.83 | Professional | TC · Technical part | $123.03 | $154.88 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $100.00 Typical High $1,122.02 | Facility | None | $97.72 | $100.00 | $1,122.02 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $97.72 | $141.25 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $117.49 | $134.90 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $38.02 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $85.11 | $100.00 | $190.55 |
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 $38.02 Median $38.02 Typical High $38.02 | Facility | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $69.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $27.54 | $43.65 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $173.78 Typical High $173.78 | Professional | FX · Film X-ray | $128.82 | $173.78 | $173.78 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $134.90 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $120.23 | $134.90 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $69.18 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $27.54 | $43.65 | $43.65 |
Where Idaho sits
The same service costs 4.6 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
$204
AK $324TX $70.79
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.