How much rates vary
Facilitymedian $115 · 10th to 90th $62 to $186Professionalmedian $93 · 10th to 90th $54 to $110
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 Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $69.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $58.88 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $26.30 | $38.90 | $38.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $72.44 Median $120.23 Typical High $199.53 | Facility | None | $72.44 | $120.23 | $199.53 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $97.72 | Professional | None (both parts) | $85.11 | $93.33 | $97.72 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $53.70 | $57.54 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.02 Typical High $40.74 | Professional | TC · Technical part | $37.15 | $38.02 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $51.29 | $51.29 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $30.20 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $20.89 | $20.89 | $35.48 |
Moda Health Setting Facility Modifier None Typical Low $61.66 Median $97.72 Typical High $138.04 | Facility | None | $61.66 | $97.72 | $138.04 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $72.44 | $97.72 | $107.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $48.98 | Professional | TC · Technical part | $31.62 | $38.90 | $48.98 |
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 $102.33 Median $114.82 Typical High $114.82 | Facility | None | $102.33 | $114.82 | $114.82 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $15.14 Median $109.65 Typical High $114.82 | Professional | None (both parts) | $15.14 | $109.65 | $114.82 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $32.36 | $32.36 | $32.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $199.53 | Facility | None | $107.15 | $154.88 | $199.53 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | None (both parts) | $85.11 | $85.11 | $107.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $48.98 | $48.98 | $63.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $37.15 | $37.15 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $61.66 Typical High $128.82 | Facility | None | $60.26 | $61.66 | $128.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $57.54 | $60.26 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $50.12 | $67.61 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $40.74 | $56.23 |
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 |
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 $34.67 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $34.67 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $13.80 | $19.50 | $19.50 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $67.61 Typical High $75.86 | Professional | 78 · Unplanned return to OR | $64.57 | $67.61 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $35.48 | $48.98 | $48.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $14.13 | $19.50 | $19.50 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 5th of 51
$93.33
AK $170FL $45.71
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.