How much rates vary
Facilitymedian $105 · 10th to 90th $37 to $851Professionalmedian $38 · 10th to 90th $31 to $51
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 $33.11 Median $38.02 Typical High $3,981.07 | Facility | None | $33.11 | $38.02 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $31.62 Typical High $44.67 | Professional | None (both parts) | $29.51 | $31.62 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $4.37 Typical High $5.37 | Professional | 26 · Professional part | $3.47 | $4.37 | $5.37 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $27.54 Typical High $40.74 | Professional | TC · Technical part | $25.70 | $27.54 | $40.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $371.54 | Facility | None | $81.28 | $109.65 | $371.54 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $51.29 | Professional | None (both parts) | $34.67 | $42.66 | $51.29 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $6.31 Typical High $7.59 | Professional | 26 · Professional part | $4.47 | $6.31 | $7.59 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $43.65 | Professional | TC · Technical part | $30.20 | $36.31 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $36.31 Typical High $43.65 | Professional | None (both parts) | $30.90 | $36.31 | $43.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $4.79 Typical High $5.75 | Professional | 26 · Professional part | $3.72 | $4.79 | $5.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $37.15 | Professional | TC · Technical part | $26.30 | $31.62 | $37.15 |
Hally Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $549.54 | Professional | None | $77.62 | $77.62 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $575.44 Typical High $1,000.00 | Facility | None | $33.11 | $575.44 | $1,000.00 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $933.25 Typical High $1,096.48 | Facility | TC · Technical part | $32.36 | $933.25 | $1,096.48 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.90 Typical High $112.20 | Professional | None (both parts) | $31.62 | $38.90 | $112.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $5.25 Typical High $12.02 | Professional | 26 · Professional part | $3.47 | $5.25 | $12.02 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $40.74 | Professional | TC · Technical part | $27.54 | $33.88 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.14 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $15.14 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $37.15 Median $41.69 Typical High $41.69 | Facility | None | $37.15 | $41.69 | $41.69 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $36.31 | $41.69 | $41.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | None (both parts) | $34.67 | $34.67 | $44.67 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $4.47 Typical High $5.75 | Professional | 26 · Professional part | $4.47 | $4.47 | $5.75 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | TC · Technical part | $30.20 | $30.20 | $38.90 |
Select Health Setting Facility Modifier None Typical Low $21.88 Median $22.39 Typical High $416.87 | Facility | None | $21.88 | $22.39 | $416.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $21.88 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $21.88 | $31.62 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $37.15 Typical High $50.12 | Professional | None (both parts) | $26.30 | $37.15 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $4.90 Typical High $6.76 | Professional | 26 · Professional part | $3.39 | $4.90 | $6.76 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $22.91 | $32.36 | $43.65 |
6 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 $15.85 Median $15.85 Typical High $18.62 | Professional | 52 · Reduced service | $15.85 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.59 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $25.12 Median $33.11 Typical High $36.31 | Professional | 78 · Unplanned return to OR | $25.12 | $33.11 | $36.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $18.62 | Professional | 52 · Reduced service | $15.85 | $15.85 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.59 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $5.75 Median $38.02 Typical High $173.78 | Professional | 59 · Distinct service | $5.75 | $38.02 | $173.78 |
Where Idaho sits
The same service costs 2.9 times more in Kansas 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· 24th of 51
$38.90
KS $74.13MD $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.