How much rates vary
Facilitymedian $3,388 · 10th to 90th $229 to $10,965Professionalmedian $347 · 10th to 90th $123 to $5,623
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 $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | TC · Technical part | $6,760.83 | $6,760.83 | $6,760.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $5,623.41 Typical High $5,623.41 | Professional | None (both parts) | $109.65 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $177.83 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $79.43 | $5,623.41 | $5,623.41 |
BCBS Idaho Setting Facility Modifier None Typical Low $245.47 Median $2,187.76 Typical High $10,964.78 | Facility | None | $245.47 | $2,187.76 | $10,964.78 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $5,128.61 | Professional | None (both parts) | $275.42 | $436.52 | $5,128.61 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $186.21 Typical High $199.53 | Professional | 26 · Professional part | $154.88 | $186.21 | $199.53 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $281.84 Typical High $5,128.61 | Professional | TC · Technical part | $91.20 | $281.84 | $5,128.61 |
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 $158.49 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $158.49 | $190.55 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $104.71 | $131.83 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $74.13 | Professional | TC · Technical part | $51.29 | $64.57 | $74.13 |
Hally Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | None | $398.11 | $398.11 | $436.52 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $5,623.41 Typical High $8,128.31 | Facility | None | $147.91 | $5,623.41 | $8,128.31 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $691.83 Typical High $5,623.41 | Professional | None (both parts) | $117.49 | $691.83 | $5,623.41 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $177.83 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $177.83 | $213.80 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $371.54 Typical High $5,623.41 | Professional | TC · Technical part | $87.10 | $371.54 | $5,623.41 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $33.11 | $33.11 | $58.88 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $562.34 | Facility | None | $162.18 | $162.18 | $562.34 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $162.18 Median $309.03 Typical High $660.69 | Professional | None (both parts) | $162.18 | $309.03 | $660.69 |
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 $204.17 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $204.17 | $275.42 | $275.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $186.21 Typical High $213.80 | Professional | 26 · Professional part | $151.36 | $186.21 | $213.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $67.61 | $91.20 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $2,041.74 | Facility | None | $251.19 | $257.04 | $2,041.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $5,888.44 | Professional | None (both parts) | $251.19 | $363.08 | $5,888.44 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $1,737.80 Typical High $2,951.21 | Professional | None (both parts) | $131.83 | $1,737.80 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $97.72 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $1,621.81 Typical High $2,754.23 | Professional | TC · Technical part | $46.77 | $1,621.81 | $2,754.23 |
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 $1,778.28 Median $2,818.38 Typical High $2,818.38 | Professional | 52 · Reduced service | $1,778.28 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $1,122.02 Typical High $1,122.02 | Professional | 53 · Discontinued | $707.95 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,818.38 Median $4,466.84 Typical High $4,466.84 | Professional | FX · Film X-ray | $2,818.38 | $4,466.84 | $4,466.84 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $363.08 Typical High $5,128.61 | Professional | 78 · Unplanned return to OR | $309.03 | $363.08 | $5,128.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,778.28 Median $2,818.38 Typical High $2,818.38 | Professional | 52 · Reduced service | $1,778.28 | $2,818.38 | $2,818.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $1,122.02 Typical High $1,122.02 | Professional | 53 · Discontinued | $707.95 | $1,122.02 | $1,122.02 |
Where Idaho sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 25th of 51
$447
CO $3,467NM $132
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.