How much rates vary
Facilitymedian $115 · 10th to 90th $68 to $200Professionalmedian $68 · 10th to 90th $44 to $81
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 $52.48 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $52.48 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $22.39 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $29.51 | $38.02 | $38.02 |
BCBS Idaho Setting Facility Modifier None Typical Low $85.11 Median $134.90 Typical High $199.53 | Facility | None | $85.11 | $134.90 | $199.53 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $70.79 | Professional | None (both parts) | $63.10 | $67.61 | $70.79 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $31.62 | Professional | 26 · Professional part | $27.54 | $30.20 | $31.62 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $37.15 Typical High $38.90 | Professional | TC · Technical part | $35.48 | $37.15 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $37.15 | $37.15 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $30.20 | Professional | 26 · Professional part | $16.98 | $16.98 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $20.42 | $35.48 |
Moda Health Setting Facility Modifier None Typical Low $66.07 Median $70.79 Typical High $102.33 | Facility | None | $66.07 | $70.79 | $102.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $70.79 Typical High $77.62 | Professional | None (both parts) | $61.66 | $70.79 | $77.62 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $33.88 | Professional | 26 · Professional part | $22.91 | $33.11 | $33.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.02 Typical High $44.67 | Professional | TC · Technical part | $30.20 | $38.02 | $44.67 |
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 $75.86 Median $83.18 Typical High $83.18 | Facility | None | $75.86 | $83.18 | $83.18 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $10.96 Median $81.28 Typical High $83.18 | Professional | None (both parts) | $10.96 | $81.28 | $83.18 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $30.90 | $30.90 | $30.90 |
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 $63.10 Median $63.10 Typical High $77.62 | Professional | None (both parts) | $63.10 | $63.10 | $77.62 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $35.48 | Professional | 26 · Professional part | $27.54 | $27.54 | $35.48 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | TC · Technical part | $35.48 | $35.48 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $45.71 Typical High $114.82 | Facility | None | $44.67 | $45.71 | $114.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $44.67 Typical High $72.44 | Professional | None (both parts) | $41.69 | $44.67 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $81.28 | Professional | None (both parts) | $51.29 | $57.54 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $31.62 | Professional | 26 · Professional part | $17.38 | $23.44 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $34.67 | $51.29 |
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 $26.30 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $26.30 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $10.47 | $14.13 | $14.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $46.77 Median $48.98 Typical High $56.23 | Professional | 78 · Unplanned return to OR | $46.77 | $48.98 | $56.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $33.11 | $35.48 | $35.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $13.18 | $14.13 | $14.13 |
Where Idaho sits
The same service costs 3.4 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· 7th of 51
$67.61
AK $123UT $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.