How much rates vary
Facilitymedian $1,380 · 10th to 90th $617 to $4,467Professionalmedian $794 · 10th to 90th $457 to $977
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 $691.83 Median $758.58 Typical High $831.76 | Professional | None (both parts) | $691.83 | $758.58 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $407.38 Typical High $416.87 | Professional | 26 · Professional part | $338.84 | $407.38 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $346.74 Typical High $416.87 | Professional | TC · Technical part | $331.13 | $346.74 | $416.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $676.08 Median $1,584.89 Typical High $2,089.30 | Facility | None | $676.08 | $1,584.89 | $2,089.30 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $512.86 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $512.86 | $851.14 | $851.14 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $446.68 Typical High $630.96 | Professional | 26 · Professional part | $446.68 | $446.68 | $630.96 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $251.19 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $524.81 | $524.81 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | 26 · Professional part | $288.40 | $288.40 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $239.88 | $239.88 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $5,495.41 | Facility | None | $758.58 | $1,071.52 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $758.58 Typical High $831.76 | Professional | None (both parts) | $691.83 | $758.58 | $831.76 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $407.38 Typical High $524.81 | Professional | 26 · Professional part | $338.84 | $407.38 | $524.81 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $346.74 Typical High $416.87 | Professional | TC · Technical part | $338.84 | $346.74 | $416.87 |
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 $870.96 Median $977.24 Typical High $977.24 | Facility | None | $870.96 | $977.24 | $977.24 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $128.82 Median $933.25 Typical High $977.24 | Professional | None (both parts) | $128.82 | $933.25 | $977.24 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $851.14 | $851.14 | $851.14 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $446.68 Typical High $501.19 | Professional | 26 · Professional part | $446.68 | $446.68 | $501.19 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $398.11 | $398.11 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $2,884.03 | Facility | None | $537.03 | $537.03 | $2,884.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $537.03 Typical High $1,445.44 | Professional | None (both parts) | $389.05 | $537.03 | $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 $616.60 Median $831.76 Typical High $1,122.02 | Professional | None (both parts) | $616.60 | $831.76 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $457.09 Typical High $602.56 | Professional | 26 · Professional part | $331.13 | $457.09 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $398.11 Typical High $524.81 | Professional | TC · Technical part | $295.12 | $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 $380.19 Median $380.19 Typical High $416.87 | Professional | 52 · Reduced service | $380.19 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | 53 · Discontinued | $151.36 | $151.36 | $165.96 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $316.23 | $380.19 | $380.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | 52 · Reduced service | $380.19 | $380.19 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | 53 · Discontinued | $151.36 | $151.36 | $165.96 |
Where Idaho sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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
$813
AK $1,288HI $437
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.