How much rates vary
Facilitymedian $288 · 10th to 90th $182 to $2,344Professionalmedian $1,202 · 10th to 90th $525 to $2,042
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 TC · Technical part Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | TC · Technical part | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,380.38 Typical High $1,905.46 | Professional | None (both parts) | $562.34 | $1,380.38 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $1,288.25 Typical High $1,778.28 | Professional | TC · Technical part | $371.54 | $1,288.25 | $1,778.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $2,344.23 | Facility | None | $173.78 | $239.88 | $2,344.23 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $512.86 Median $602.56 Typical High $2,041.74 | Professional | None (both parts) | $512.86 | $602.56 | $2,041.74 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $204.17 Typical High $239.88 | Professional | 26 · Professional part | $120.23 | $204.17 | $239.88 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $1,905.46 | Professional | TC · Technical part | $302.00 | $354.81 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,479.11 Typical High $1,698.24 | Professional | None (both parts) | $1,174.90 | $1,479.11 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $125.89 | Professional | 26 · Professional part | $87.10 | $104.71 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,380.38 Typical High $1,548.82 | Professional | TC · Technical part | $1,096.48 | $1,380.38 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $1,905.46 Typical High $2,754.23 | Facility | None | $288.40 | $1,905.46 | $2,754.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,202.26 Typical High $1,905.46 | Professional | None (both parts) | $524.81 | $1,202.26 | $1,905.46 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $70.79 | $141.25 | $223.87 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $1,148.15 Typical High $1,778.28 | Professional | TC · Technical part | $309.03 | $1,148.15 | $1,778.28 |
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 $489.78 Median $645.65 Typical High $645.65 | Facility | None | $489.78 | $645.65 | $645.65 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $758.58 | Professional | None (both parts) | $645.65 | $645.65 | $758.58 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $1,698.24 | $2,041.74 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $302.00 Typical High $1,000.00 | Facility | None | $288.40 | $302.00 | $1,000.00 |
Select Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $288.40 | $288.40 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,071.52 Typical High $1,949.84 | Professional | None (both parts) | $954.99 | $1,071.52 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $77.62 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,000.00 Typical High $1,819.70 | Professional | TC · Technical part | $891.25 | $1,000.00 | $1,819.70 |
5 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 $562.34 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $562.34 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $223.87 | $380.19 | $380.19 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $398.11 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $354.81 | $398.11 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $602.56 | $954.99 | $954.99 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $245.47 | $380.19 | $380.19 |
Where Idaho sits
The same service costs 20.4 times more in Alaska than in Oregon. 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
$1,072
AK $2,754OR $135
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.