How much rates vary
Facilitymedian $363 · 10th to 90th $162 to $741Professionalmedian $479 · 10th to 90th $339 to $692
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 $1,412.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $316.23 | $426.58 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $109.65 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $489.78 | Professional | TC · Technical part | $229.09 | $323.59 | $489.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $181.97 Median $426.58 Typical High $741.31 | Facility | None | $181.97 | $426.58 | $741.31 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $457.09 Median $501.19 Typical High $588.84 | Professional | None (both parts) | $457.09 | $501.19 | $588.84 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $186.21 | Professional | 26 · Professional part | $125.89 | $158.49 | $186.21 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $363.08 Typical High $407.38 | Professional | TC · Technical part | $323.59 | $363.08 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $169.82 Typical High $229.09 | Facility | None | $151.36 | $169.82 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $446.68 Typical High $501.19 | Professional | None (both parts) | $346.74 | $446.68 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $151.36 | Professional | 26 · Professional part | $107.15 | $134.90 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $323.59 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $323.59 | $363.08 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $691.83 Typical High $5,495.41 | Facility | None | $407.38 | $691.83 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $537.03 Typical High $691.83 | Professional | None (both parts) | $416.87 | $537.03 | $691.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $194.98 | Professional | 26 · Professional part | $107.15 | $147.91 | $194.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $489.78 | Professional | TC · Technical part | $309.03 | $323.59 | $489.78 |
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 $426.58 Median $524.81 Typical High $524.81 | Facility | None | $426.58 | $524.81 | $524.81 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $389.05 Median $524.81 Typical High $676.08 | Professional | None (both parts) | $389.05 | $524.81 | $676.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $812.83 | Facility | None | $467.74 | $645.65 | $812.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $446.68 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $446.68 | $457.09 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $741.31 | Facility | None | $251.19 | $257.04 | $741.31 |
Select Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $251.19 | $251.19 | $346.74 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $309.03 | $389.05 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $125.89 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $426.58 | Professional | TC · Technical part | $218.78 | $275.42 | $426.58 |
8 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 $190.55 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $190.55 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $77.62 | $138.04 | $138.04 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $501.19 Typical High $537.03 | Professional | 54 · Surgery only | $426.58 | $501.19 | $537.03 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $56.23 Typical High $58.88 | Professional | 55 · Aftercare only | $47.86 | $56.23 | $58.88 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $575.44 Median $676.08 Typical High $707.95 | Professional | 63 · Small infant | $575.44 | $676.08 | $707.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $389.05 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $331.13 | $389.05 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $208.93 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $85.11 | $138.04 | $138.04 |
Where Idaho sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 16th of 51
$457
AK $1,000UT $209
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.