How much rates vary
Facilitymedian $288 · 10th to 90th $186 to $347Professionalmedian $245 · 10th to 90th $186 to $347
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 $190.55 Median $234.42 Typical High $257.04 | Professional | None (both parts) | $190.55 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $91.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $134.90 | Professional | TC · Technical part | $97.72 | $112.20 | $134.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $316.23 Typical High $346.74 | Facility | None | $173.78 | $316.23 | $346.74 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $257.04 | Professional | None (both parts) | $186.21 | $218.78 | $257.04 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $158.49 Typical High $194.98 | Professional | 26 · Professional part | $128.82 | $158.49 | $194.98 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $138.04 | Professional | TC · Technical part | $117.49 | $131.83 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $199.53 | $251.19 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $128.82 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $120.23 Typical High $147.91 | Professional | TC · Technical part | $104.71 | $120.23 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $758.58 | Professional | None | $630.96 | $630.96 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $3,981.07 | Facility | None | $234.42 | $257.04 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $288.40 | Professional | None (both parts) | $190.55 | $234.42 | $288.40 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $169.82 | Professional | 26 · Professional part | $91.20 | $123.03 | $169.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $134.90 | Professional | TC · Technical part | $97.72 | $112.20 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $33.11 | $33.11 | $58.88 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $288.40 | $302.00 | $302.00 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $251.19 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $251.19 | $257.04 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | 26 · Professional part | $128.82 | $128.82 | $162.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $128.82 Typical High $162.18 | Professional | TC · Technical part | $125.89 | $128.82 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $239.88 | Facility | None | $199.53 | $218.78 | $239.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $8,511.38 | Professional | None (both parts) | $186.21 | $218.78 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $269.15 | $371.54 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $134.90 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $331.13 | Professional | TC · Technical part | $173.78 | $239.88 | $331.13 |
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 $109.65 Median $117.49 Typical High $128.82 | Professional | 52 · Reduced service | $109.65 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $51.29 | Professional | 53 · Discontinued | $43.65 | $46.77 | $51.29 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $147.91 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $131.83 | $147.91 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | 52 · Reduced service | $117.49 | $117.49 | $128.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | 53 · Discontinued | $46.77 | $46.77 | $51.29 |
Where Idaho sits
The same service costs 3.1 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· 37th of 51
$245
AK $537NY $174
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.