How much rates vary
Facilitymedian $2,570 · 10th to 90th $141 to $10,965Professionalmedian $251 · 10th to 90th $141 to $331
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 $169.82 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $169.82 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $138.04 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $97.72 | $144.54 | $144.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $489.78 Median $2,570.40 Typical High $10,964.78 | Facility | None | $489.78 | $2,570.40 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $316.23 | Professional | None (both parts) | $223.87 | $263.03 | $316.23 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $131.83 | Professional | 26 · Professional part | $107.15 | $125.89 | $131.83 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $114.82 | $134.90 | $154.88 |
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 $181.97 Median $229.09 Typical High $275.42 | Professional | None (both parts) | $181.97 | $229.09 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $123.03 | Professional | 26 · Professional part | $79.43 | $102.33 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $93.33 | $120.23 | $158.49 |
Hally Health Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | None | $588.84 | $588.84 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $616.60 | Facility | None | $169.82 | $281.84 | $616.60 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $223.87 | $281.84 | $338.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $89.13 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $144.54 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $33.11 | $33.11 | $60.26 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $281.84 | Facility | None | $114.82 | $141.25 | $281.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $141.25 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $141.25 | $239.88 | $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 $229.09 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $229.09 | $281.84 | $338.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $109.65 | $131.83 | $162.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $173.78 | Professional | TC · Technical part | $120.23 | $151.36 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $588.84 | Facility | None | $125.89 | $128.82 | $588.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $125.89 | $181.97 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $151.36 | $199.53 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $74.13 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $239.88 | Professional | TC · Technical part | $83.18 | $125.89 | $239.88 |
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 FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | FX · Film X-ray | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $85.11 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $33.88 | $56.23 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $158.49 | $223.87 | $223.87 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $173.78 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $154.88 | $173.78 | $223.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $85.11 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $33.88 | $56.23 | $56.23 |
Where Idaho sits
The same service costs 4.5 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
$263
AK $427UT $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.