How much rates vary
Facilitymedian $1,122 · 10th to 90th $263 to $1,820Professionalmedian $372 · 10th to 90th $166 to $724
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 $645.65 Median $676.08 Typical High $776.25 | Professional | None (both parts) | $645.65 | $676.08 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $134.90 | $177.83 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $630.96 Typical High $724.44 | Professional | TC · Technical part | $602.56 | $630.96 | $724.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $776.25 Median $1,348.96 Typical High $1,905.46 | Facility | None | $776.25 | $1,348.96 | $1,905.46 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $218.78 | $257.04 | $363.08 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $229.09 Typical High $281.84 | Professional | 26 · Professional part | $181.97 | $229.09 | $281.84 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $181.97 | Professional | TC · Technical part | $117.49 | $138.04 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $436.52 | Professional | None (both parts) | $295.12 | $363.08 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $190.55 Typical High $229.09 | Professional | 26 · Professional part | $151.36 | $190.55 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $204.17 | Professional | TC · Technical part | $147.91 | $181.97 | $204.17 |
Hally Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | None | $1,047.13 | $1,047.13 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $3,981.07 | Facility | None | $389.05 | $676.08 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $676.08 Typical High $776.25 | Professional | None (both parts) | $331.13 | $676.08 | $776.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $177.83 Typical High $371.54 | Professional | 26 · Professional part | $138.04 | $177.83 | $371.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $630.96 Typical High $724.44 | Professional | TC · Technical part | $602.56 | $630.96 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $223.87 | Professional | None (both parts) | $33.11 | $33.11 | $223.87 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $436.52 | Facility | None | $165.96 | $165.96 | $436.52 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $436.52 | Professional | None (both parts) | $162.18 | $169.82 | $436.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,819.70 | Facility | None | $933.25 | $1,348.96 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $467.74 | Professional | None (both parts) | $363.08 | $363.08 | $467.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $234.42 | Professional | 26 · Professional part | $181.97 | $181.97 | $234.42 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $181.97 Typical High $234.42 | Professional | TC · Technical part | $177.83 | $181.97 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $263.03 Typical High $1,047.13 | Facility | None | $257.04 | $263.03 | $1,047.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $8,511.38 | Professional | None (both parts) | $257.04 | $398.11 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $645.65 Typical High $1,122.02 | Professional | None (both parts) | $426.58 | $645.65 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $199.53 Typical High $251.19 | Professional | 26 · Professional part | $138.04 | $199.53 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $501.19 Typical High $891.25 | Professional | TC · Technical part | $239.88 | $501.19 | $891.25 |
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 $331.13 Median $331.13 Typical High $389.05 | Professional | 52 · Reduced service | $331.13 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | 53 · Discontinued | $134.90 | $134.90 | $154.88 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $169.82 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $151.36 | $169.82 | $181.97 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $389.05 | Professional | 52 · Reduced service | $331.13 | $331.13 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | 53 · Discontinued | $134.90 | $134.90 | $154.88 |
Where Idaho sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 42nd of 51
$398
AK $1,000WA $324
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.