How much rates vary
Facilitymedian $490 · 10th to 90th $229 to $955Professionalmedian $347 · 10th to 90th $234 to $661
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 Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $537.03 | Facility | None | $302.00 | $380.19 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $457.09 | Professional | None | $181.97 | $269.15 | $457.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $1,023.29 | Facility | None | $371.54 | $588.84 | $1,023.29 |
BCBS Idaho Setting Professional Modifier None Typical Low $281.84 Median $478.63 Typical High $812.83 | Professional | None | $281.84 | $478.63 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $549.54 | Professional | None | $257.04 | $363.08 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $245.47 Median $446.68 Typical High $1,071.52 | Facility | None | $245.47 | $446.68 | $1,071.52 |
Moda Health Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $630.96 | Professional | None | $234.42 | $338.84 | $630.96 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $660.69 | Facility | None | $302.00 | $302.00 | $660.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $660.69 | Professional | None | $295.12 | $501.19 | $660.69 |
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 Typical Low $269.15 Median $316.23 Typical High $537.03 | Professional | None | $269.15 | $316.23 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $363.08 Typical High $676.08 | Facility | None | $354.81 | $363.08 | $676.08 |
Select Health Setting Professional Modifier None Typical Low $208.93 Median $354.81 Typical High $407.38 | Professional | None | $208.93 | $354.81 | $407.38 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $204.17 Median $338.84 Typical High $537.03 | Professional | None | $204.17 | $338.84 | $537.03 |
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 $117.49 Median $125.89 Typical High $223.87 | Professional | 52 · Reduced service | $117.49 | $125.89 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $89.13 | Professional | 53 · Discontinued | $46.77 | $50.12 | $89.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $354.81 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $218.78 | $354.81 | $562.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $125.89 Typical High $223.87 | Professional | 52 · Reduced service | $123.03 | $125.89 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $89.13 | Professional | 53 · Discontinued | $48.98 | $50.12 | $89.13 |
Where Idaho sits
The same service costs 4.4 times more in Oklahoma than in Maryland. 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.
Physician feeFacility fee
OK $1,976MD $446
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.