How much rates vary
Facilitymedian $1,259 · 10th to 90th $245 to $2,512Professionalmedian $331 · 10th to 90th $204 to $468
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 $354.81 Median $354.81 Typical High $3,981.07 | Facility | None | $354.81 | $354.81 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $354.81 | Professional | None (both parts) | $223.87 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $87.10 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $158.49 | $213.80 | $263.03 |
BCBS Idaho Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $2,754.23 | Facility | None | $691.83 | $1,445.44 | $2,754.23 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $331.13 | $398.11 | $478.63 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $138.04 | Professional | 26 · Professional part | $89.13 | $112.20 | $138.04 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $346.74 | Professional | TC · Technical part | $239.88 | $281.84 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $398.11 | Professional | None (both parts) | $257.04 | $323.59 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $74.13 | $89.13 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $229.09 | $281.84 |
Hally Health Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,380.38 | Professional | None | $794.33 | $794.33 | $1,380.38 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $1,548.82 Typical High $2,344.23 | Facility | None | $302.00 | $1,548.82 | $2,344.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $354.81 Typical High $691.83 | Professional | None (both parts) | $223.87 | $354.81 | $691.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $263.03 | Professional | 26 · Professional part | $67.61 | $97.72 | $263.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $295.12 | Professional | TC · Technical part | $162.18 | $213.80 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $141.25 | Professional | None (both parts) | $33.11 | $33.11 | $141.25 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $389.05 | Facility | None | $85.11 | $85.11 | $389.05 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $81.28 Median $338.84 Typical High $389.05 | Professional | None (both parts) | $81.28 | $338.84 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $933.25 Median $1,412.54 Typical High $1,819.70 | Facility | None | $933.25 | $1,412.54 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $416.87 | Professional | None (both parts) | $331.13 | $331.13 | $416.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $89.13 | $114.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $302.00 | Professional | TC · Technical part | $239.88 | $239.88 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $208.93 Typical High $1,698.24 | Facility | None | $204.17 | $208.93 | $1,698.24 |
Select Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $204.17 | $295.12 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $239.88 | $331.13 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $66.07 | $93.33 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $316.23 | Professional | TC · Technical part | $173.78 | $229.09 | $316.23 |
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 $125.89 Median $151.36 Typical High $173.78 | Professional | 52 · Reduced service | $125.89 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $60.26 Typical High $69.18 | Professional | 53 · Discontinued | $51.29 | $60.26 | $69.18 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $309.03 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $239.88 | $309.03 | $338.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $173.78 | Professional | 52 · Reduced service | $151.36 | $151.36 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 53 · Discontinued | $60.26 | $60.26 | $69.18 |
Where Idaho sits
The same service costs 3.5 times more in Alaska 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
$339
AK $562UT $158
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.