How much rates vary
Facilitymedian $60 · 10th to 90th $40 to $98Professionalmedian $58 · 10th to 90th $12 to $79
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $43.65 Median $43.65 Typical High $51.29 | Professional | None (both parts) | $43.65 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 26 · Professional part | $22.39 | $22.39 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $27.54 | Professional | TC · Technical part | $20.89 | $20.89 | $27.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $39.81 Median $60.26 Typical High $97.72 | Facility | None | $39.81 | $60.26 | $97.72 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
Moda Health Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $61.66 | Facility | None | $43.65 | $43.65 | $61.66 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | None (both parts) | $43.65 | $43.65 | $51.29 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 26 · Professional part | $22.39 | $22.39 | $23.99 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $27.54 | Professional | TC · Technical part | $20.89 | $20.89 | $27.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None (both parts) | $12.30 | $12.30 | $12.30 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $30.90 | $30.90 | $30.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $97.72 | Facility | None | $47.86 | $69.18 | $97.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Facility | None | $51.29 | $51.29 | $70.79 |
Select Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $75.86 Typical High $5,011.87 | Professional | None (both parts) | $69.18 | $75.86 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $77.62 | Professional | None (both parts) | $43.65 | $58.88 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $28.84 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $38.02 | Professional | TC · Technical part | $21.88 | $30.20 | $38.02 |
4 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 $21.88 Median $21.88 Typical High $25.70 | Professional | 52 · Reduced service | $21.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $10.23 | Professional | 53 · Discontinued | $8.71 | $8.71 | $10.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 52 · Reduced service | $21.88 | $21.88 | $25.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $10.23 | Professional | 53 · Discontinued | $8.71 | $8.71 | $10.23 |
Where Idaho sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 18th of 51
$58.88
NE $105AR $25.12
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.