How much rates vary
Facilitymedian $263 · 10th to 90th $89 to $437Professionalmedian $170 · 10th to 90th $107 to $200
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $109.65 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $35.48 | $79.43 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $72.44 | $117.49 | $117.49 |
BCBS Idaho Setting Facility Modifier None Typical Low $97.72 Median $323.59 Typical High $478.63 | Facility | None | $97.72 | $323.59 | $478.63 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $154.88 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $154.88 | $169.82 | $194.98 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $75.86 | Professional | 26 · Professional part | $61.66 | $69.18 | $75.86 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $120.23 | Professional | TC · Technical part | $91.20 | $102.33 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $117.49 | $144.54 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $63.10 | Professional | 26 · Professional part | $44.67 | $54.95 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $107.15 | Professional | TC · Technical part | $77.62 | $89.13 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $281.84 | Facility | None | $87.10 | $199.53 | $281.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $123.03 | $199.53 | $234.42 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $79.43 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $79.43 | $91.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $83.18 | $117.49 | $117.49 |
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 $89.13 Median $194.98 Typical High $194.98 | Facility | None | $89.13 | $194.98 | $194.98 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $165.96 | $194.98 | $229.09 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $165.96 | $194.98 | $234.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $93.33 | Professional | 26 · Professional part | $64.57 | $75.86 | $93.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $138.04 | Professional | TC · Technical part | $102.33 | $120.23 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $87.10 Median $89.13 Typical High $467.74 | Facility | None | $87.10 | $89.13 | $467.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $181.97 | Professional | None (both parts) | $87.10 | $87.10 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $100.00 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $70.79 | $123.03 |
11 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 $57.54 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $57.54 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $22.91 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $100.00 | $158.49 | $158.49 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $120.23 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $107.15 | $120.23 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $61.66 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $25.12 | $39.81 | $39.81 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 22 · Increased work | $181.97 | $181.97 | $181.97 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 54 · Surgery only | $114.82 | $114.82 | $114.82 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $16.60 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 63 · Small infant | $181.97 | $181.97 | $181.97 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 78 · Unplanned return to OR | $123.03 | $123.03 | $123.03 |
Where Idaho sits
The same service costs 4.5 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· 8th of 51
$170
AK $295TX $66.07
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.