How much rates vary
Facilitymedian $48 · 10th to 90th $21 to $91Professionalmedian $24 · 10th to 90th $15 to $30
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 $21.38 Median $21.38 Typical High $22.91 | Professional | None (both parts) | $21.38 | $21.38 | $22.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $11.22 | $11.48 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $10.00 Typical High $11.75 | Professional | TC · Technical part | $10.00 | $10.00 | $11.75 |
BCBS Idaho Setting Facility Modifier None Typical Low $34.67 Median $47.86 Typical High $91.20 | Facility | None | $34.67 | $47.86 | $91.20 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $36.31 | Professional | None (both parts) | $23.99 | $23.99 | $36.31 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $18.20 | Professional | 26 · Professional part | $12.02 | $12.02 | $18.20 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $17.78 | Professional | TC · Technical part | $12.02 | $12.02 | $17.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $25.12 | Professional | None (both parts) | $14.79 | $14.79 | $25.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $13.49 | Professional | 26 · Professional part | $7.94 | $7.94 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $6.92 Typical High $11.75 | Professional | TC · Technical part | $6.92 | $6.92 | $11.75 |
Moda Health Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $3,981.07 | Facility | None | $21.38 | $21.38 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $19.05 Median $22.91 Typical High $29.51 | Professional | None (both parts) | $19.05 | $22.91 | $29.51 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $11.22 | $11.48 | $11.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $10.00 Typical High $11.75 | Professional | TC · Technical part | $10.00 | $10.00 | $11.75 |
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 $3.98 Median $28.84 Typical High $29.51 | Professional | None (both parts) | $3.98 | $28.84 | $29.51 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | TC · Technical part | $9.77 | $9.77 | $9.77 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $70.79 Typical High $97.72 | Facility | None | $47.86 | $70.79 | $97.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | None (both parts) | $23.99 | $23.99 | $26.30 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $13.80 | Professional | 26 · Professional part | $12.02 | $12.02 | $13.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | TC · Technical part | $12.02 | $12.02 | $12.30 |
Select Health Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $16.22 | Facility | None | $15.85 | $15.85 | $16.22 |
Select Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $20.89 Typical High $34.67 | Professional | None (both parts) | $15.85 | $20.89 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $22.91 Typical High $30.20 | Professional | None (both parts) | $17.38 | $22.91 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $15.14 | Professional | 26 · Professional part | $8.71 | $11.75 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $11.22 Typical High $15.14 | Professional | TC · Technical part | $8.32 | $11.22 | $15.14 |
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 $10.72 Median $10.72 Typical High $11.48 | Professional | 52 · Reduced service | $10.72 | $10.72 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.57 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.57 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $17.38 Median $24.55 Typical High $26.30 | Professional | 78 · Unplanned return to OR | $17.38 | $24.55 | $26.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $11.48 | Professional | 52 · Reduced service | $10.72 | $10.72 | $11.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.57 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.57 |
Where Idaho sits
The same service costs 2.7 times more in Minnesota than in Florida. 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
$23.99
MN $38.02FL $14.13
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.