How much rates vary
Facilitymedian $269 · 10th to 90th $66 to $912Professionalmedian $407 · 10th to 90th $81 to $501
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 Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $371.54 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $309.03 | $331.13 | $331.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | TC · Technical part | $60.26 | $60.26 | $61.66 |
BCBS Idaho Setting Facility Modifier None Typical Low $61.66 Median $158.49 Typical High $912.01 | Facility | None | $61.66 | $158.49 | $912.01 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $602.56 | Professional | None (both parts) | $407.38 | $407.38 | $602.56 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $512.86 | Professional | 26 · Professional part | $346.74 | $346.74 | $512.86 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $69.18 | $69.18 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $269.15 | $269.15 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $398.11 | Professional | 26 · Professional part | $234.42 | $234.42 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $66.07 | Professional | TC · Technical part | $38.90 | $38.90 | $66.07 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $398.11 Typical High $562.34 | Facility | None | $371.54 | $398.11 | $562.34 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $398.11 Typical High $489.78 | Professional | None (both parts) | $81.28 | $398.11 | $489.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $331.13 Typical High $407.38 | Professional | 26 · Professional part | $257.04 | $331.13 | $407.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $81.28 | Professional | TC · Technical part | $52.48 | $60.26 | $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 $457.09 Median $501.19 Typical High $501.19 | Facility | None | $457.09 | $501.19 | $501.19 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $66.07 Median $478.63 Typical High $501.19 | Professional | None (both parts) | $66.07 | $478.63 | $501.19 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $977.24 | Facility | None | $524.81 | $758.58 | $977.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | None (both parts) | $407.38 | $407.38 | $478.63 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | 26 · Professional part | $346.74 | $346.74 | $407.38 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | TC · Technical part | $69.18 | $69.18 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $263.03 Typical High $269.15 | Facility | None | $134.90 | $263.03 | $269.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $263.03 | $288.40 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $512.86 | Professional | None (both parts) | $288.40 | $389.05 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $346.74 Typical High $446.68 | Professional | 26 · Professional part | $251.19 | $346.74 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $48.98 Typical High $72.44 | Professional | TC · Technical part | $36.31 | $48.98 | $72.44 |
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 $186.21 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $186.21 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $74.13 | $79.43 | $79.43 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $416.87 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $309.03 | $416.87 | $436.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $186.21 | $199.53 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $74.13 | $79.43 | $79.43 |
Where Idaho sits
The same service costs 3.3 times more in Minnesota 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· 14th of 51
$407
MN $661UT $200
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.