How much rates vary
Facilitymedian $87 · 10th to 90th $34 to $479Professionalmedian $39 · 10th to 90th $30 to $54
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 $40.74 Median $40.74 Typical High $3,981.07 | Facility | None | $40.74 | $40.74 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.88 Typical High $43.65 | Professional | None (both parts) | $30.20 | $33.88 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $11.75 | Professional | 26 · Professional part | $7.41 | $10.00 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $32.36 | Professional | TC · Technical part | $22.39 | $23.99 | $32.36 |
BCBS Idaho Setting Facility Modifier None Typical Low $37.15 Median $87.10 Typical High $147.91 | Facility | None | $37.15 | $87.10 | $147.91 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $54.95 | Professional | None (both parts) | $37.15 | $45.71 | $54.95 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.49 Typical High $16.60 | Professional | 26 · Professional part | $10.47 | $13.49 | $16.60 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $38.90 | Professional | TC · Technical part | $26.92 | $32.36 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $45.71 | Professional | None (both parts) | $32.36 | $38.02 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $12.88 | Professional | 26 · Professional part | $8.71 | $10.72 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $27.54 Typical High $32.36 | Professional | TC · Technical part | $23.44 | $27.54 | $32.36 |
Hally Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $407.38 | Professional | None | $154.88 | $154.88 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $39.81 Median $363.08 Typical High $501.19 | Facility | None | $39.81 | $363.08 | $501.19 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $575.44 Typical High $724.44 | Facility | TC · Technical part | $28.84 | $575.44 | $724.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $39.81 Typical High $120.23 | Professional | None (both parts) | $29.51 | $39.81 | $120.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $26.92 | Professional | 26 · Professional part | $7.41 | $10.00 | $26.92 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $24.55 Typical High $35.48 | Professional | TC · Technical part | $22.39 | $24.55 | $35.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.80 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $13.80 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $40.74 Median $44.67 Typical High $44.67 | Facility | None | $40.74 | $44.67 | $44.67 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $38.90 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $38.90 | $44.67 | $44.67 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | None (both parts) | $37.15 | $37.15 | $47.86 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $26.92 | $26.92 | $34.67 |
Select Health Setting Facility Modifier None Typical Low $23.44 Median $23.99 Typical High $147.91 | Facility | None | $23.44 | $23.99 | $147.91 |
Select Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.88 Typical High $50.12 | Professional | None (both parts) | $23.44 | $33.88 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $51.29 | Professional | None (both parts) | $28.18 | $39.81 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $14.45 | Professional | 26 · Professional part | $7.76 | $10.96 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $36.31 | Professional | TC · Technical part | $19.95 | $28.18 | $36.31 |
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 $16.98 Median $16.98 Typical High $19.50 | Professional | 52 · Reduced service | $16.98 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.94 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.94 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $26.92 Median $35.48 Typical High $38.90 | Professional | 78 · Unplanned return to OR | $26.92 | $35.48 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | 52 · Reduced service | $16.98 | $16.98 | $19.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.94 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.94 |
Where Idaho sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 23rd of 51
$39.81
MN $69.18MD $25.70
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.