How much rates vary
Facilitymedian $501 · 10th to 90th $47 to $955Professionalmedian $191 · 10th to 90th $98 to $324
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 $141.25 Median $190.55 Typical High $218.78 | Professional | None (both parts) | $141.25 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $45.71 | $67.61 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $154.88 | Professional | TC · Technical part | $95.50 | $125.89 | $154.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $245.47 Median $512.86 Typical High $977.24 | Facility | None | $245.47 | $512.86 | $977.24 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $354.81 | Professional | None (both parts) | $218.78 | $295.12 | $354.81 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $77.62 | $95.50 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $162.18 | $213.80 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $144.54 | $165.96 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $51.29 | $63.10 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $128.82 | Professional | TC · Technical part | $81.28 | $107.15 | $128.82 |
Hally Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | None | $295.12 | $295.12 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $275.42 | Facility | None | $158.49 | $190.55 | $275.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $141.25 | $190.55 | $281.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $67.61 | $93.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $125.89 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $87.10 | Professional | None (both parts) | $33.11 | $33.11 | $87.10 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $281.84 | Facility | None | $46.77 | $46.77 | $281.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $45.71 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $45.71 | $234.42 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,023.29 | Facility | None | $512.86 | $794.33 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $173.78 | $218.78 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $54.95 | $79.43 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $120.23 | $162.18 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $501.19 | Facility | None | $151.36 | $154.88 | $501.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $151.36 | $199.53 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $104.71 | $154.88 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $58.88 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $89.13 | $141.25 |
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 $77.62 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $38.02 | $38.02 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $229.09 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $162.18 | $229.09 | $251.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $77.62 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $38.02 | $38.02 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in New York. 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
$200
AK $347NY $107
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.