How much rates vary
Facilitymedian $87 · 10th to 90th $36 to $200Professionalmedian $47 · 10th to 90th $28 to $58
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 $38.90 Median $38.90 Typical High $43.65 | Professional | None (both parts) | $38.90 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $26.30 | Professional | TC · Technical part | $21.38 | $21.38 | $26.30 |
BCBS Setting Facility Modifier None Typical Low $38.90 Median $97.72 Typical High $208.93 | Facility | None | $38.90 | $97.72 | $208.93 |
BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $70.79 | Professional | None (both parts) | $46.77 | $46.77 | $70.79 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | 26 · Professional part | $18.62 | $18.62 | $26.92 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $42.66 | Professional | TC · Technical part | $28.84 | $28.84 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $46.77 | Professional | None (both parts) | $27.54 | $27.54 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $12.02 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $26.30 | Professional | TC · Technical part | $15.49 | $15.49 | $26.30 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $43.65 Typical High $3,981.07 | Facility | None | $38.90 | $43.65 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $43.65 Typical High $57.54 | Professional | None (both parts) | $38.90 | $43.65 | $57.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $13.80 | $16.98 | $21.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $36.31 | Professional | TC · Technical part | $21.38 | $23.44 | $36.31 |
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 $52.48 Median $57.54 Typical High $57.54 | Facility | None | $52.48 | $57.54 | $57.54 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $7.76 Median $56.23 Typical High $57.54 | Professional | None (both parts) | $7.76 | $56.23 | $57.54 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $199.53 | Facility | None | $107.15 | $154.88 | $199.53 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | None (both parts) | $46.77 | $46.77 | $47.86 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $20.89 | Professional | 26 · Professional part | $18.62 | $18.62 | $20.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $26.92 | $28.84 | $28.84 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $31.62 Typical High $85.11 | Facility | None | $30.90 | $31.62 | $85.11 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $30.90 | $44.67 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $57.54 | Professional | None (both parts) | $32.36 | $43.65 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.20 Typical High $23.44 | Professional | 26 · Professional part | $13.18 | $18.20 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $18.62 | $25.70 | $36.31 |
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 $19.05 Median $19.05 Typical High $21.38 | Professional | 52 · Reduced service | $19.05 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $8.71 | Professional | 53 · Discontinued | $7.76 | $7.76 | $8.71 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $34.67 Median $47.86 Typical High $50.12 | Professional | 78 · Unplanned return to OR | $34.67 | $47.86 | $50.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $21.38 | Professional | 52 · Reduced service | $19.05 | $19.05 | $21.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $8.71 | Professional | 53 · Discontinued | $7.76 | $7.76 | $8.71 |
Where Idaho sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 18th of 51
$46.77
MN $74.13AL $28.18
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.