How much rates vary
Facilitymedian $603 · 10th to 90th $135 to $1,202Professionalmedian $166 · 10th to 90th $100 to $204
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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | None (both parts) | $147.91 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $75.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | TC · Technical part | $69.18 | $69.18 | $79.43 |
BCBS Setting Facility Modifier None Typical Low $165.96 Median $616.60 Typical High $1,047.13 | Facility | None | $165.96 | $616.60 | $1,047.13 |
BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $165.96 | $165.96 | $245.47 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $79.43 | $117.49 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $87.10 | $87.10 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $100.00 | $100.00 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $53.70 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $46.77 | $46.77 | $79.43 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $3,981.07 | Facility | None | $123.03 | $147.91 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $199.53 | Professional | None (both parts) | $128.82 | $154.88 | $199.53 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $77.62 | $93.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $107.15 | Professional | TC · Technical part | $69.18 | $69.18 | $107.15 |
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 $181.97 Median $204.17 Typical High $204.17 | Facility | None | $181.97 | $204.17 | $204.17 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $26.92 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $26.92 | $194.98 | $204.17 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
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 $165.96 Median $165.96 Typical High $181.97 | Professional | None (both parts) | $165.96 | $165.96 | $181.97 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $79.43 | $79.43 | $93.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | TC · Technical part | $87.10 | $87.10 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $323.59 | Facility | None | $107.15 | $109.65 | $323.59 |
Select Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $107.15 | $144.54 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $117.49 | $154.88 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $81.28 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $100.00 | Professional | TC · Technical part | $56.23 | $74.13 | $100.00 |
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 $74.13 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $74.13 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $29.51 | $29.51 | $30.90 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $169.82 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $123.03 | $169.82 | $177.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $74.13 | $74.13 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $29.51 | $29.51 | $30.90 |
Where Idaho sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 14th of 51
$166
MN $269UT $70.79
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.