How much rates vary
Facilitymedian $813 · 10th to 90th $174 to $1,820Professionalmedian $275 · 10th to 90th $158 to $389
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 $302.00 Median $302.00 Typical High $3,981.07 | Facility | None | $302.00 | $302.00 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $213.80 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $107.15 | Professional | 26 · Professional part | $72.44 | $97.72 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $141.25 | $158.49 | $199.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $389.05 Median $933.25 Typical High $1,819.70 | Facility | None | $389.05 | $933.25 | $1,819.70 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $275.42 | $338.84 | $407.38 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $100.00 | $125.89 | $154.88 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $177.83 | $208.93 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $213.80 | $275.42 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $102.33 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $204.17 | Professional | TC · Technical part | $131.83 | $169.82 | $204.17 |
Hally Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $741.31 | Professional | None | $616.60 | $616.60 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $3,981.07 | Facility | None | $257.04 | $363.08 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $218.78 | $281.84 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $309.03 | Professional | 26 · Professional part | $72.44 | $97.72 | $309.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $141.25 | $158.49 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $33.11 | $33.11 | $74.13 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $323.59 | Facility | None | $93.33 | $93.33 | $323.59 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $91.20 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $91.20 | $288.40 | $323.59 |
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 $275.42 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $275.42 | $275.42 | $354.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $100.00 | $100.00 | $128.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $223.87 | Professional | TC · Technical part | $177.83 | $177.83 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $1,096.48 | Facility | None | $173.78 | $177.83 | $1,096.48 |
Select Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $173.78 | $251.19 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $199.53 | $288.40 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $138.04 | Professional | 26 · Professional part | $74.13 | $104.71 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $245.47 | Professional | TC · Technical part | $125.89 | $181.97 | $245.47 |
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 $125.89 Median $128.82 Typical High $141.25 | Professional | 52 · Reduced service | $125.89 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $51.29 | $56.23 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $263.03 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $204.17 | $263.03 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | 52 · Reduced service | $128.82 | $128.82 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | 53 · Discontinued | $51.29 | $51.29 | $56.23 |
Where Idaho sits
The same service costs 3.9 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· 15th of 51
$282
AK $468UT $120
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.