How much rates vary
Facilitymedian $575 · 10th to 90th $240 to $1,047Professionalmedian $347 · 10th to 90th $263 to $479
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 $323.59 Median $323.59 Typical High $3,981.07 | Facility | None | $323.59 | $323.59 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $380.19 | Professional | None (both parts) | $281.84 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $123.03 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $123.03 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $186.21 | $281.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $354.81 Median $676.08 Typical High $1,047.13 | Facility | None | $354.81 | $676.08 | $1,047.13 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $501.19 | Professional | None (both parts) | $338.84 | $416.87 | $501.19 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $199.53 | Professional | 26 · Professional part | $128.82 | $162.18 | $199.53 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $251.19 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $263.03 | $338.84 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $158.49 | Professional | 26 · Professional part | $102.33 | $128.82 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $251.19 | Professional | TC · Technical part | $158.49 | $213.80 | $251.19 |
Hally Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | None | $426.58 | $426.58 | $512.86 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $3,981.07 | Facility | None | $239.88 | $323.59 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $302.00 | $346.74 | $407.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $123.03 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $123.03 | $173.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $229.09 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $131.83 | Professional | None (both parts) | $33.11 | $33.11 | $131.83 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $407.38 | Facility | None | $363.08 | $407.38 | $407.38 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $346.74 | $407.38 | $407.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $426.58 | Professional | None (both parts) | $338.84 | $338.84 | $426.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $128.82 | $128.82 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $208.93 | $208.93 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $218.78 Typical High $1,023.29 | Facility | None | $213.80 | $218.78 | $1,023.29 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $446.68 | Professional | None (both parts) | $213.80 | $309.03 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $501.19 | Professional | None (both parts) | $251.19 | $380.19 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $104.71 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $251.19 Typical High $398.11 | Professional | TC · Technical part | $154.88 | $251.19 | $398.11 |
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 $154.88 Median $154.88 Typical High $173.78 | Professional | 52 · Reduced service | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | 53 · Discontinued | $61.66 | $61.66 | $69.18 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $323.59 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $245.47 | $323.59 | $354.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | 52 · Reduced service | $154.88 | $154.88 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | 53 · Discontinued | $61.66 | $61.66 | $69.18 |
Where Idaho sits
The same service costs 4.7 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· 19th of 51
$347
AK $589UT $126
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.