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 $173.78 Median $302.00 Typical High $309.03 | Facility | None | $173.78 | $302.00 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $257.04 Typical High $263.03 | Professional | None (both parts) | $117.49 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $81.28 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $81.28 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $173.78 Typical High $177.83 | Professional | TC · Technical part | $81.28 | $173.78 | $177.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $165.96 Median $436.52 Typical High $630.96 | Facility | None | $165.96 | $436.52 | $630.96 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $199.53 | $234.42 | $263.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $83.18 | Professional | 26 · Professional part | $63.10 | $74.13 | $83.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $177.83 | Professional | TC · Technical part | $134.90 | $158.49 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $602.56 Typical High $1,000.00 | Facility | None | $245.47 | $602.56 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $138.04 | $177.83 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $57.54 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $147.91 | Professional | TC · Technical part | $93.33 | $120.23 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $501.19 | Professional | None | $309.03 | $309.03 | $501.19 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $302.00 Typical High $562.34 | Facility | None | $151.36 | $302.00 | $562.34 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $123.03 | $257.04 | $302.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $81.28 Typical High $93.33 | Professional | 26 · Professional part | $34.67 | $81.28 | $93.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $169.82 Typical High $177.83 | Professional | TC · Technical part | $89.13 | $169.82 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $33.11 | $33.11 | $63.10 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $60.26 Median $131.83 Typical High $257.04 | Facility | None | $60.26 | $131.83 | $257.04 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $60.26 Median $141.25 Typical High $302.00 | Professional | None (both parts) | $60.26 | $141.25 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $501.19 Typical High $645.65 | Facility | None | $346.74 | $501.19 | $645.65 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $199.53 | $251.19 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $77.62 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $204.17 | Professional | TC · Technical part | $138.04 | $173.78 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $114.82 Typical High $467.74 | Facility | None | $112.20 | $114.82 | $467.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $112.20 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $239.88 | Professional | None (both parts) | $109.65 | $128.82 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $33.88 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $77.62 | $85.11 | $162.18 |
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 $70.79 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $70.79 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $28.18 | $51.29 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $204.17 Typical High $204.17 | Professional | FX · Film X-ray | $120.23 | $204.17 | $204.17 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $162.18 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $138.04 | $162.18 | $194.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $75.86 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $30.20 | $51.29 | $51.29 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 6th of 51
$234
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.