How much rates vary
Facilitymedian $525 · 10th to 90th $32 to $1,202Professionalmedian $56 · 10th to 90th $43 to $87
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 $58.88 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $58.88 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $13.80 | $19.05 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $53.70 | $67.61 | $67.61 |
BCBS Idaho Setting Facility Modifier None Typical Low $77.62 Median $758.58 Typical High $1,318.26 | Facility | None | $77.62 | $758.58 | $1,318.26 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $42.66 Median $48.98 Typical High $66.07 | Professional | None (both parts) | $42.66 | $48.98 | $66.07 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $26.30 | Professional | 26 · Professional part | $18.20 | $23.44 | $26.30 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $38.02 | Professional | TC · Technical part | $25.70 | $31.62 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $91.20 | Professional | None (both parts) | $48.98 | $48.98 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $10.00 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $38.90 | $38.90 | $70.79 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $87.10 Typical High $125.89 | Facility | None | $83.18 | $87.10 | $125.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $42.66 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $23.99 | Professional | 26 · Professional part | $15.85 | $19.05 | $23.99 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $67.61 Typical High $74.13 | Professional | TC · Technical part | $31.62 | $67.61 | $74.13 |
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 $52.48 Median $58.88 Typical High $58.88 | Facility | None | $52.48 | $58.88 | $58.88 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $52.48 | $58.88 | $58.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $891.25 Typical High $1,318.26 | Facility | None | $524.81 | $891.25 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $50.12 | $50.12 | $74.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $25.70 | $25.70 | $25.70 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $31.62 Typical High $131.83 | Facility | None | $30.90 | $31.62 | $131.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.11 Typical High $295.12 | Professional | None (both parts) | $29.51 | $33.11 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $64.57 Typical High $89.13 | Professional | None (both parts) | $47.86 | $64.57 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $19.05 | Professional | 26 · Professional part | $9.55 | $13.80 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $70.79 | Professional | TC · Technical part | $38.90 | $52.48 | $70.79 |
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 $30.20 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $30.20 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $12.30 | $17.38 | $17.38 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $29.51 Median $31.62 Typical High $47.86 | Professional | 78 · Unplanned return to OR | $29.51 | $31.62 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $33.88 | $43.65 | $43.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $13.49 | $17.38 | $17.38 |
Where Idaho sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 16th of 51
$58.88
AK $110OH $33.11
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.