How much rates vary
Facilitymedian $257 · 10th to 90th $32 to $479Professionalmedian $26 · 10th to 90th $17 to $32
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 $19.95 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $19.95 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $15.49 | $19.95 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $4.57 Typical High $5.25 | Professional | TC · Technical part | $4.07 | $4.57 | $5.25 |
BCBS Setting Facility Modifier None Typical Low $74.13 Median $269.15 Typical High $407.38 | Facility | None | $74.13 | $269.15 | $407.38 |
BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.30 Typical High $31.62 | Professional | None (both parts) | $20.42 | $26.30 | $31.62 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $25.12 | Professional | 26 · Professional part | $16.60 | $20.89 | $25.12 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $5.50 Typical High $6.03 | Professional | TC · Technical part | $3.98 | $5.50 | $6.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.30 Typical High $25.70 | Professional | None (both parts) | $12.30 | $12.30 | $25.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $11.22 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $1.12 Typical High $4.79 | Professional | TC · Technical part | $1.12 | $1.12 | $4.79 |
Moda Health Setting Facility Modifier None Typical Low $23.99 Median $24.55 Typical High $47.86 | Facility | None | $23.99 | $24.55 | $47.86 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $24.55 Typical High $30.20 | Professional | None (both parts) | $22.91 | $24.55 | $30.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $22.91 | Professional | 26 · Professional part | $15.85 | $19.95 | $22.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $4.57 Typical High $6.03 | Professional | TC · Technical part | $4.07 | $4.57 | $6.03 |
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 $28.18 Median $31.62 Typical High $31.62 | Facility | None | $28.18 | $31.62 | $31.62 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $4.17 Median $30.20 Typical High $31.62 | Professional | None (both parts) | $4.17 | $30.20 | $31.62 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | TC · Technical part | $4.07 | $4.07 | $4.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $512.86 | Facility | None | $269.15 | $389.05 | $512.86 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | None (both parts) | $26.30 | $26.30 | $30.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $20.89 | $24.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $5.50 Median $5.50 Typical High $5.75 | Professional | TC · Technical part | $5.50 | $5.50 | $5.75 |
Select Health Setting Facility Modifier None Typical Low $16.60 Median $16.98 Typical High $275.42 | Facility | None | $16.60 | $16.98 | $275.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.98 Typical High $28.18 | Professional | None (both parts) | $16.22 | $16.98 | $28.18 |
United Setting Professional Modifier None (both parts) Typical Low $17.78 Median $23.99 Typical High $34.67 | Professional | None (both parts) | $17.78 | $23.99 | $34.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.49 Typical High $21.38 | Professional | 26 · Professional part | $10.47 | $15.49 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.47 Typical High $18.20 | Professional | TC · Technical part | $2.75 | $4.47 | $18.20 |
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 $10.00 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $10.00 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $3.98 | $4.90 | $4.90 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $18.62 Median $20.89 Typical High $21.88 | Professional | 78 · Unplanned return to OR | $18.62 | $20.89 | $21.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $11.75 | $12.30 | $12.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $4.79 | $4.90 | $4.90 |
Where Idaho sits
The same service costs 2.5 times more in California 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· 12th of 51
$26.30
CA $40.74NY $16.22
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.