How much rates vary
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 None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $125.89 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $33.11 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $93.33 | $162.18 | $162.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $165.96 Median $575.44 Typical High $831.76 | Facility | None | $165.96 | $575.44 | $831.76 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $190.55 | $223.87 | $239.88 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $58.88 | $69.18 | $69.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $169.82 | Professional | TC · Technical part | $131.83 | $154.88 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,348.96 | Facility | None | $316.23 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $131.83 | $165.96 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $51.29 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $141.25 | Professional | TC · Technical part | $93.33 | $114.82 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | None | $269.15 | $269.15 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $239.88 Typical High $354.81 | Facility | None | $109.65 | $239.88 | $354.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $125.89 | $234.42 | $281.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $63.10 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $93.33 | $144.54 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $33.11 | $33.11 | $61.66 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $54.95 Median $125.89 Typical High $245.47 | Facility | None | $54.95 | $125.89 | $245.47 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $54.95 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $54.95 | $199.53 | $288.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $660.69 Typical High $851.14 | Facility | None | $446.68 | $660.69 | $851.14 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $204.17 | $239.88 | $281.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $60.26 | $69.18 | $87.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $194.98 | Professional | TC · Technical part | $144.54 | $169.82 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $478.63 | Facility | None | $109.65 | $112.20 | $478.63 |
Select Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $109.65 | $158.49 | $223.87 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $47.86 | $69.18 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $109.65 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $120.23 | $131.83 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $38.90 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $95.50 | $186.21 |
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 $67.61 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $67.61 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $26.92 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $117.49 | $190.55 | $190.55 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $147.91 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $134.90 | $147.91 | $158.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $70.79 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $28.18 | $47.86 | $47.86 |
Where Idaho sits
The same service costs 3.9 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· 9th of 51
$214
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.