How much rates vary
Facilitymedian $309 · 10th to 90th $182 to $380Professionalmedian $282 · 10th to 90th $186 to $347
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $275.42 | Professional | None (both parts) | $269.15 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $194.98 | $199.53 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $67.61 | $67.61 | $81.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $229.09 Median $295.12 Typical High $363.08 | Facility | None | $229.09 | $295.12 | $363.08 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $281.84 | $281.84 | $407.38 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $309.03 | Professional | 26 · Professional part | $208.93 | $208.93 | $309.03 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $104.71 | Professional | TC · Technical part | $75.86 | $75.86 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $186.21 | $186.21 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $239.88 | Professional | 26 · Professional part | $141.25 | $141.25 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $47.86 | $47.86 | $81.28 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $380.19 | Facility | None | $269.15 | $269.15 | $380.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $223.87 | $275.42 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $199.53 Typical High $239.88 | Professional | 26 · Professional part | $154.88 | $199.53 | $239.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $67.61 | $67.61 | $81.28 |
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 $309.03 Median $338.84 Typical High $338.84 | Facility | None | $309.03 | $338.84 | $338.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $44.67 Median $331.13 Typical High $338.84 | Professional | None (both parts) | $44.67 | $331.13 | $338.84 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | None (both parts) | $281.84 | $281.84 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | 26 · Professional part | $208.93 | $208.93 | $245.47 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | TC · Technical part | $75.86 | $75.86 | $81.28 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $181.97 | $251.19 | $416.87 |
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 $213.80 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $213.80 | $316.23 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $223.87 Typical High $316.23 | Professional | 26 · Professional part | $158.49 | $223.87 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $102.33 Typical High $173.78 | Professional | TC · Technical part | $54.95 | $102.33 | $173.78 |
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 $134.90 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $134.90 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $53.70 | $53.70 | $54.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $281.84 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $213.80 | $281.84 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $134.90 | $134.90 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $53.70 | $53.70 | $54.95 |
Where Idaho sits
The same service costs 3.5 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· 22nd of 51
$282
AK $468UT $132
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.