How much rates vary
Facilitymedian $135 · 10th to 90th $83 to $200Professionalmedian $126 · 10th to 90th $72 to $155
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 $89.13 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $89.13 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $50.12 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $40.74 | $61.66 | $61.66 |
BCBS Idaho Setting Facility Modifier None Typical Low $72.44 Median $123.03 Typical High $199.53 | Facility | None | $72.44 | $123.03 | $199.53 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $154.88 | Professional | None (both parts) | $117.49 | $147.91 | $154.88 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $81.28 | Professional | 26 · Professional part | $60.26 | $77.62 | $81.28 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $74.13 | Professional | TC · Technical part | $57.54 | $70.79 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $120.23 | Professional | None (both parts) | $67.61 | $67.61 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $36.31 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $56.23 | Professional | TC · Technical part | $30.90 | $30.90 | $56.23 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $134.90 Typical High $190.55 | Facility | None | $114.82 | $134.90 | $190.55 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $144.54 | Professional | None (both parts) | $97.72 | $134.90 | $144.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $74.13 | Professional | 26 · Professional part | $50.12 | $72.44 | $74.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $70.79 | Professional | TC · Technical part | $47.86 | $61.66 | $70.79 |
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 $141.25 Median $154.88 Typical High $154.88 | Facility | None | $141.25 | $154.88 | $154.88 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $20.89 Median $151.36 Typical High $154.88 | Professional | None (both parts) | $20.89 | $151.36 | $154.88 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $158.49 Typical High $199.53 | Facility | None | $107.15 | $158.49 | $199.53 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | None (both parts) | $117.49 | $117.49 | $144.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $60.26 | $77.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | TC · Technical part | $57.54 | $57.54 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $114.82 | Facility | None | $83.18 | $83.18 | $114.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $79.43 | $83.18 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $64.57 | $93.33 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $35.48 | $50.12 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $58.88 | Professional | TC · Technical part | $30.20 | $42.66 | $58.88 |
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 $44.67 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $44.67 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $17.78 | $26.92 | $26.92 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $104.71 | $104.71 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $48.98 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $19.50 | $26.92 | $26.92 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$126
AK $229NJ $61.66
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.