How much rates vary
Facilitymedian $74 · 10th to 90th $56 to $123Professionalmedian $62 · 10th to 90th $15 to $93
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 Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | TC · Technical part | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $52.48 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | 26 · Professional part | $34.67 | $34.67 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | TC · Technical part | $17.78 | $17.78 | $22.39 |
BCBS Idaho Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $123.03 | Facility | None | $61.66 | $85.11 | $123.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $53.70 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $53.70 | $93.33 | $93.33 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $53.70 | $61.66 | $61.66 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $74.13 | Facility | None | $52.48 | $52.48 | $74.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $52.48 | $52.48 | $61.66 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | 26 · Professional part | $34.67 | $34.67 | $38.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | TC · Technical part | $17.78 | $17.78 | $22.39 |
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None (both parts) | $15.49 | $15.49 | $15.49 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $26.30 | $26.30 | $26.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $123.03 | Facility | None | $70.79 | $97.72 | $123.03 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $57.54 | Facility | None | $56.23 | $56.23 | $57.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | None (both parts) | $56.23 | $56.23 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $60.26 | $81.28 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $54.95 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $27.54 Typical High $37.15 | Professional | TC · Technical part | $19.95 | $27.54 | $37.15 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | 78 · Unplanned return to OR | $33.88 | $39.81 | $39.81 |
Where Idaho sits
The same service costs 141.3 times more in New York 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· 36th of 51
$61.66
NY $5,129AR $36.31
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.