How much rates vary
Facilitymedian $191 · 10th to 90th $44 to $389Professionalmedian $166 · 10th to 90th $100 to $204
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 $61.66 Median $61.66 Typical High $61.66 | Facility | TC · Technical part | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $104.71 | $128.82 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $91.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $51.29 Typical High $52.48 | Professional | TC · Technical part | $32.36 | $51.29 | $52.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $41.69 Median $190.55 Typical High $389.05 | Facility | None | $41.69 | $190.55 | $389.05 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $194.98 | Professional | None (both parts) | $162.18 | $190.55 | $194.98 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $138.04 | Professional | 26 · Professional part | $114.82 | $134.90 | $138.04 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $56.23 | Professional | TC · Technical part | $46.77 | $54.95 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $117.49 | $141.25 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $123.03 | Professional | 26 · Professional part | $87.10 | $102.33 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $43.65 | Professional | TC · Technical part | $30.90 | $38.90 | $43.65 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $190.55 Typical High $316.23 | Facility | None | $91.20 | $190.55 | $316.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $186.21 Typical High $229.09 | Professional | None (both parts) | $107.15 | $186.21 | $229.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $117.49 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $117.49 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $51.29 Typical High $57.54 | Professional | TC · Technical part | $32.36 | $51.29 | $57.54 |
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 $43.65 Median $204.17 Typical High $204.17 | Facility | None | $43.65 | $204.17 | $204.17 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $43.65 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $43.65 | $204.17 | $239.88 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $154.88 | $194.98 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $346.74 | Facility | None | $91.20 | $93.33 | $346.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | None (both parts) | $91.20 | $91.20 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $95.50 | $112.20 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $74.13 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $74.13 | Professional | TC · Technical part | $25.70 | $33.88 | $74.13 |
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 $51.29 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $51.29 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $20.42 | $38.02 | $38.02 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $125.89 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $112.20 | $125.89 | $131.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $53.70 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $21.38 | $38.02 | $38.02 |
Where Idaho sits
The same service costs 5.2 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· 11th of 51
$166
AK $309TX $58.88
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.