How much rates vary
Facilitymedian $275 · 10th to 90th $30 to $955Professionalmedian $25 · 10th to 90th $16 to $29
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 $18.62 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $18.62 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $13.80 | $18.62 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $4.57 Typical High $4.68 | Professional | TC · Technical part | $4.07 | $4.57 | $4.68 |
BCBS Idaho Setting Facility Modifier None Typical Low $74.13 Median $275.42 Typical High $812.83 | Facility | None | $74.13 | $275.42 | $812.83 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $18.62 Median $25.12 Typical High $28.84 | Professional | None (both parts) | $18.62 | $25.12 | $28.84 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $22.91 | Professional | 26 · Professional part | $14.79 | $19.50 | $22.91 |
BCBS Idaho 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 $11.48 Median $11.48 Typical High $23.44 | Professional | None (both parts) | $11.48 | $11.48 | $23.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $19.05 | Professional | 26 · Professional part | $10.23 | $10.23 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $1.12 Typical High $4.37 | Professional | TC · Technical part | $1.12 | $1.12 | $4.37 |
Moda Health Setting Facility Modifier None Typical Low $21.88 Median $22.91 Typical High $43.65 | Facility | None | $21.88 | $22.91 | $43.65 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $22.91 Typical High $28.18 | Professional | None (both parts) | $21.38 | $22.91 | $28.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $21.38 | Professional | 26 · Professional part | $14.45 | $18.62 | $21.38 |
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 $26.92 Median $29.51 Typical High $29.51 | Facility | None | $26.92 | $29.51 | $29.51 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $3.89 Median $28.84 Typical High $29.51 | Professional | None (both parts) | $3.89 | $28.84 | $29.51 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
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 $512.86 Median $741.31 Typical High $1,023.29 | Facility | None | $512.86 | $741.31 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | None (both parts) | $25.12 | $25.12 | $28.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $19.50 | $22.39 |
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 $15.85 Median $15.85 Typical High $275.42 | Facility | None | $15.85 | $15.85 | $275.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $16.22 Typical High $26.30 | Professional | None (both parts) | $15.49 | $16.22 | $26.30 |
United Setting Professional Modifier None (both parts) Typical Low $16.22 Median $22.39 Typical High $31.62 | Professional | None (both parts) | $16.22 | $22.39 | $31.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $9.33 | $14.45 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $4.47 Typical High $17.38 | Professional | TC · Technical part | $2.57 | $4.47 | $17.38 |
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 $9.33 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $9.33 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $3.72 | $4.57 | $4.57 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $17.38 Median $19.50 Typical High $20.42 | Professional | 78 · Unplanned return to OR | $17.38 | $19.50 | $20.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $10.96 | $11.48 | $11.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.37 | $4.57 | $4.57 |
Where Idaho sits
The same service costs 2.6 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· 10th of 51
$25.12
CA $38.02NY $14.45
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.