How much rates vary
Facilitymedian $912 · 10th to 90th $105 to $2,138Professionalmedian $105 · 10th to 90th $65 to $135
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 Typical Low $64.57 Median $120.23 Typical High $120.23 | Professional | None | $64.57 | $120.23 | $120.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $2,238.72 | Facility | None | $501.19 | $1,047.13 | $2,238.72 |
BCBS Idaho Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $134.90 | Professional | None | $83.18 | $97.72 | $134.90 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $57.54 Median $67.61 Typical High $95.50 | Professional | 78 · Unplanned return to OR | $57.54 | $67.61 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,230.27 Typical High $2,089.30 | Facility | None | $501.19 | $1,230.27 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $117.49 | Professional | None | $72.44 | $95.50 | $117.49 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | None | $213.80 | $213.80 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $120.23 Typical High $257.04 | Facility | None | $64.57 | $120.23 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $144.54 | Professional | None | $81.28 | $120.23 | $144.54 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $79.43 Median $104.71 Typical High $104.71 | Facility | None | $79.43 | $104.71 | $104.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | None | $104.71 | $104.71 | $125.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,380.38 | Facility | None | $707.95 | $1,047.13 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $144.54 | Professional | None | $97.72 | $117.49 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $47.86 Typical High $575.44 | Facility | None | $46.77 | $47.86 | $575.44 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $120.23 | Professional | None | $46.77 | $67.61 | $120.23 |
United Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $173.78 | Professional | None | $61.66 | $93.33 | $173.78 |
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 Facility Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $32.36 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $12.88 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $63.10 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $32.36 | $60.26 | $60.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $13.18 | $24.55 | $24.55 |
Where Idaho sits
The same service costs 4.1 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· 16th of 51
$117
AK $200TX $48.98
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.