How much rates vary
Facilitymedian $832 · 10th to 90th $427 to $4,467Professionalmedian $603 · 10th to 90th $363 to $741
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 $4,466.84 Median $4,786.30 Typical High $6,918.31 | Facility | None | $4,466.84 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $645.65 | Professional | None (both parts) | $575.44 | $575.44 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $239.88 | Professional | 26 · Professional part | $234.42 | $234.42 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $338.84 | $338.84 | $398.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $436.52 Median $1,000.00 Typical High $1,122.02 | Facility | None | $436.52 | $1,000.00 | $1,122.02 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $398.11 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $398.11 | $645.65 | $645.65 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | 26 · Professional part | $257.04 | $257.04 | $354.81 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $251.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $398.11 | $398.11 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | 26 · Professional part | $165.96 | $165.96 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $398.11 | Professional | TC · Technical part | $234.42 | $234.42 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $645.65 Typical High $5,495.41 | Facility | None | $524.81 | $645.65 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $575.44 Typical High $645.65 | Professional | None (both parts) | $549.54 | $575.44 | $645.65 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $234.42 Typical High $302.00 | Professional | 26 · Professional part | $194.98 | $234.42 | $302.00 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $338.84 | $338.84 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $660.69 Median $741.31 Typical High $741.31 | Facility | None | $660.69 | $741.31 | $741.31 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $97.72 Median $707.95 Typical High $741.31 | Professional | None (both parts) | $97.72 | $707.95 | $741.31 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $288.40 | $288.40 | $288.40 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | 26 · Professional part | $257.04 | $257.04 | $288.40 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $380.19 | $380.19 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $870.96 | Facility | None | $426.58 | $426.58 | $870.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $1,445.44 | Professional | None (both parts) | $229.09 | $426.58 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $8,317.64 Typical High $9,332.54 | Facility | None | $1,862.09 | $8,317.64 | $9,332.54 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $489.78 | $645.65 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $257.04 Typical High $354.81 | Professional | 26 · Professional part | $194.98 | $257.04 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $398.11 Typical High $524.81 | Professional | TC · Technical part | $302.00 | $398.11 | $524.81 |
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 $288.40 Median $288.40 Typical High $323.59 | Professional | 52 · Reduced service | $288.40 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $128.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $295.12 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $251.19 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $323.59 | Professional | 52 · Reduced service | $288.40 | $288.40 | $323.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $128.82 |
Where Idaho sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 18th of 51
$631
WI $1,000NC $331
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.