How much rates vary
Facilitymedian $240 · 10th to 90th $60 to $407Professionalmedian $95 · 10th to 90th $81 to $132
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $72.44 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $72.44 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.12 Typical High $26.92 | Professional | TC · Technical part | $22.39 | $25.12 | $26.92 |
BCBS Idaho Setting Facility Modifier None Typical Low $208.93 Median $281.84 Typical High $416.87 | Facility | None | $208.93 | $281.84 | $416.87 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $81.28 | $114.82 | $134.90 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $81.28 | $95.50 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $39.81 | Professional | TC · Technical part | $24.55 | $33.88 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $107.15 | Professional | None (both parts) | $83.18 | $102.33 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $69.18 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $30.90 | Professional | TC · Technical part | $22.91 | $28.18 | $30.90 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $87.10 Typical High $125.89 | Facility | None | $85.11 | $87.10 | $125.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $87.10 Typical High $109.65 | Professional | None (both parts) | $85.11 | $87.10 | $109.65 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $57.54 | $61.66 | $75.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $33.88 | Professional | TC · Technical part | $25.12 | $25.12 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | None (both parts) | $33.11 | $33.11 | $41.69 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $102.33 Median $112.20 Typical High $112.20 | Facility | None | $102.33 | $112.20 | $112.20 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $81.28 | $112.20 | $112.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $416.87 | Facility | None | $218.78 | $309.03 | $416.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $109.65 | Professional | None (both parts) | $81.28 | $95.50 | $109.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $56.23 | $66.07 | $77.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $33.11 | Professional | TC · Technical part | $25.70 | $30.20 | $33.11 |
Select Health Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $60.26 | Facility | None | $58.88 | $58.88 | $60.26 |
Select Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $102.33 | Professional | None (both parts) | $58.88 | $74.13 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $69.18 | $89.13 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $48.98 | $64.57 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $35.48 | Professional | TC · Technical part | $19.95 | $25.70 | $35.48 |
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 $36.31 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $36.31 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $14.79 | $17.38 | $17.38 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $57.54 Median $83.18 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $57.54 | $83.18 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $40.74 | $43.65 | $43.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $16.60 | $17.38 | $17.38 |
Where Idaho sits
The same service costs 3.9 times more in Alaska than in Texas. 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
$95.50
AK $170TX $43.65
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.