How much rates vary
Facilitymedian $219 · 10th to 90th $60 to $389Professionalmedian $91 · 10th to 90th $58 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 $70.79 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $70.79 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $28.84 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $41.69 | $53.70 | $53.70 |
BCBS Idaho Setting Facility Modifier None Typical Low $128.82 Median $245.47 Typical High $407.38 | Facility | None | $128.82 | $245.47 | $407.38 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $95.50 | Professional | None (both parts) | $85.11 | $91.20 | $95.50 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $41.69 | Professional | 26 · Professional part | $35.48 | $38.90 | $41.69 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $51.29 Typical High $53.70 | Professional | TC · Technical part | $50.12 | $51.29 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $87.10 | Professional | None (both parts) | $50.12 | $50.12 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $38.90 | Professional | 26 · Professional part | $21.88 | $21.88 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $47.86 | Professional | TC · Technical part | $28.18 | $28.18 | $47.86 |
Moda Health Setting Facility Modifier None Typical Low $77.62 Median $95.50 Typical High $138.04 | Facility | None | $77.62 | $95.50 | $138.04 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $104.71 | Professional | None (both parts) | $74.13 | $95.50 | $104.71 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $43.65 | Professional | 26 · Professional part | $29.51 | $42.66 | $43.65 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $66.07 | Professional | TC · Technical part | $41.69 | $53.70 | $66.07 |
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 $112.20 Typical High $112.20 | Facility | None | $102.33 | $112.20 | $112.20 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $14.79 Median $109.65 Typical High $112.20 | Professional | None (both parts) | $14.79 | $109.65 | $112.20 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $416.87 | Facility | None | $218.78 | $309.03 | $416.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | None (both parts) | $85.11 | $85.11 | $104.71 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $35.48 | $45.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $50.12 | $50.12 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $194.98 | Facility | None | $60.26 | $60.26 | $194.98 |
Select Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $97.72 | Professional | None (both parts) | $56.23 | $60.26 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $102.33 | Professional | None (both parts) | $67.61 | $74.13 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $40.74 | Professional | 26 · Professional part | $21.88 | $30.20 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $38.02 | $47.86 | $67.61 |
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 $35.48 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $35.48 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $14.13 | $19.05 | $19.05 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $67.61 Typical High $74.13 | Professional | 78 · Unplanned return to OR | $63.10 | $67.61 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $44.67 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $17.78 | $19.05 | $19.05 |
Where Idaho sits
The same service costs 3.5 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· 7th of 51
$91.20
AK $162FL $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.