How much rates vary
Facilitymedian $191 · 10th to 90th $105 to $912Professionalmedian $145 · 10th to 90th $30 to $204
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 $131.83 Median $131.83 Typical High $134.90 | Professional | None (both parts) | $131.83 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 26 · Professional part | $85.11 | $85.11 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | TC · Technical part | $45.71 | $45.71 | $47.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $93.33 Median $162.18 Typical High $776.25 | Facility | None | $93.33 | $162.18 | $776.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
BCBS Idaho 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 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $91.20 | $91.20 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $58.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $54.95 | Professional | TC · Technical part | $32.36 | $32.36 | $54.95 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $190.55 | Facility | None | $131.83 | $131.83 | $190.55 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | None (both parts) | $131.83 | $131.83 | $134.90 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 26 · Professional part | $85.11 | $85.11 | $87.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | TC · Technical part | $45.71 | $45.71 | $47.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $208.93 | Facility | None | $190.55 | $208.93 | $208.93 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $27.54 Median $204.17 Typical High $208.93 | Professional | None (both parts) | $27.54 | $204.17 | $208.93 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Regence BlueShield 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 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $134.90 Typical High $707.95 | Facility | None | $56.23 | $134.90 | $707.95 |
Select Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
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 $89.13 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $89.13 | $123.03 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $66.07 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $70.79 | Professional | TC · Technical part | $38.90 | $52.48 | $70.79 |
4 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 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.49 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $13.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $20.42 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.49 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $13.49 |
Where Idaho sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 12th of 51
$155
MN $275AL $63.10
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.