How much rates vary
Facilitymedian $380 · 10th to 90th $120 to $631Professionalmedian $490 · 10th to 90th $178 to $589
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 $194.98 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $194.98 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $95.50 | $208.93 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $100.00 | $323.59 | $323.59 |
BCBS Idaho Setting Facility Modifier None Typical Low $223.87 Median $436.52 Typical High $630.96 | Facility | None | $223.87 | $436.52 | $630.96 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $457.09 Median $524.81 Typical High $549.54 | Professional | None (both parts) | $457.09 | $524.81 | $549.54 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $204.17 Typical High $218.78 | Professional | 26 · Professional part | $173.78 | $204.17 | $218.78 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $323.59 Typical High $338.84 | Professional | TC · Technical part | $288.40 | $323.59 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $120.23 Typical High $190.55 | Facility | None | $109.65 | $120.23 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $416.87 | Professional | None (both parts) | $281.84 | $363.08 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $173.78 | Professional | 26 · Professional part | $117.49 | $147.91 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $218.78 Typical High $251.19 | Professional | TC · Technical part | $162.18 | $218.78 | $251.19 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $537.03 Typical High $758.58 | Facility | None | $234.42 | $537.03 | $758.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $537.03 Typical High $616.60 | Professional | None (both parts) | $316.23 | $537.03 | $616.60 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $112.20 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $190.55 | $323.59 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $588.84 | Facility | None | $151.36 | $251.19 | $588.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $151.36 Median $549.54 Typical High $691.83 | Professional | None (both parts) | $151.36 | $549.54 | $691.83 |
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 $436.52 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $436.52 | $524.81 | $616.60 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $204.17 Typical High $245.47 | Professional | 26 · Professional part | $169.82 | $204.17 | $245.47 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $323.59 Typical High $371.54 | Professional | TC · Technical part | $269.15 | $323.59 | $371.54 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $269.15 Typical High $549.54 | Facility | None | $263.03 | $269.15 | $549.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $263.03 | $263.03 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $208.93 | $251.19 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $97.72 | $107.15 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $107.15 | $147.91 | $208.93 |
12 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 $77.62 Median $77.62 Typical High $77.62 | Facility | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $125.89 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $50.12 | $107.15 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $426.58 Typical High $426.58 | Professional | FX · Film X-ray | $251.19 | $426.58 | $426.58 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $323.59 | $380.19 | $380.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $158.49 | $263.03 | $263.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $63.10 | $107.15 | $107.15 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 22 · Increased work | $602.56 | $602.56 | $602.56 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $54.95 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 63 · Small infant | $602.56 | $602.56 | $602.56 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $407.38 |
Where Idaho sits
The same service costs 5.4 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· 5th of 51
$490
AK $741TX $138
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.