How much rates vary
Facilitymedian $85 · 10th to 90th $43 to $138Professionalmedian $117 · 10th to 90th $62 to $138
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 $131.83 Median $131.83 Typical High $3,981.07 | Facility | None | $131.83 | $131.83 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $70.79 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $42.66 | $52.48 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $57.54 Typical High $66.07 | Professional | TC · Technical part | $26.92 | $57.54 | $66.07 |
BCBS Idaho Setting Facility Modifier None Typical Low $40.74 Median $70.79 Typical High $123.03 | Facility | None | $40.74 | $70.79 | $123.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $117.49 | $117.49 | $165.96 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $53.70 | $81.28 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $63.10 | $63.10 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $123.03 | Professional | None (both parts) | $72.44 | $72.44 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $36.31 | $36.31 | $61.66 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $109.65 Typical High $158.49 | Facility | None | $38.02 | $109.65 | $158.49 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $138.04 | Professional | None (both parts) | $87.10 | $109.65 | $138.04 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $52.48 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $72.44 | Professional | TC · Technical part | $46.77 | $57.54 | $72.44 |
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 $125.89 Median $138.04 Typical High $138.04 | Facility | None | $125.89 | $138.04 | $138.04 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $18.20 Median $134.90 Typical High $138.04 | Professional | None (both parts) | $18.20 | $134.90 | $138.04 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $123.03 | Facility | None | $70.79 | $97.72 | $123.03 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | None (both parts) | $117.49 | $117.49 | $134.90 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $53.70 | $53.70 | $63.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | TC · Technical part | $63.10 | $63.10 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $75.86 Typical High $162.18 | Facility | None | $74.13 | $75.86 | $162.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $74.13 | $100.00 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $61.66 | $87.10 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $54.95 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $33.88 Typical High $56.23 | Professional | TC · Technical part | $22.39 | $33.88 | $56.23 |
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 $54.95 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $54.95 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | 53 · Discontinued | $21.88 | $21.88 | $22.39 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $114.82 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $87.10 | $114.82 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $54.95 | $54.95 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | 53 · Discontinued | $21.88 | $21.88 | $22.39 |
Where Idaho sits
The same service costs 3.4 times more in Alaska than in New York. 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· 10th of 51
$117
AK $182NY $53.70
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.