How much rates vary
Facilitymedian $302 · 10th to 90th $129 to $724Professionalmedian $191 · 10th to 90th $93 to $257
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 $199.53 Median $199.53 Typical High $3,981.07 | Facility | None | $199.53 | $199.53 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $154.88 | $165.96 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.11 Typical High $37.15 | Professional | 26 · Professional part | $20.42 | $33.11 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $134.90 | $194.98 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $371.54 Typical High $724.44 | Facility | None | $173.78 | $371.54 | $724.44 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $186.21 | $223.87 | $269.15 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $42.66 | $51.29 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $218.78 | Professional | TC · Technical part | $151.36 | $177.83 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $602.56 | Facility | None | $147.91 | $371.54 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $154.88 | $181.97 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $41.69 | Professional | 26 · Professional part | $27.54 | $34.67 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $177.83 | Professional | TC · Technical part | $125.89 | $147.91 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | None | $323.59 | $323.59 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $912.01 | Facility | None | $165.96 | $234.42 | $912.01 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $165.96 | $190.55 | $223.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $20.42 | $33.11 | $40.74 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $134.90 | $151.36 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $79.43 | Professional | None (both parts) | $33.11 | $33.11 | $79.43 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $31.62 Median $173.78 Typical High $204.17 | Facility | None | $31.62 | $173.78 | $204.17 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $31.62 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $31.62 | $190.55 | $208.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $371.54 | Facility | None | $208.93 | $288.40 | $371.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $181.97 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $181.97 | $186.21 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $33.88 | $34.67 | $44.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $147.91 | $151.36 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $117.49 Typical High $1,148.15 | Facility | None | $114.82 | $117.49 | $1,148.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $114.82 | $165.96 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $138.04 | $199.53 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $30.90 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $165.96 | $263.03 |
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 $83.18 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $83.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $33.11 | $33.11 | $36.31 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $173.78 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $134.90 | $173.78 | $190.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $83.18 | $83.18 | $91.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $33.11 | $33.11 | $36.31 |
Where Idaho sits
The same service costs 3.3 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· 12th of 51
$191
AK $316UT $95.50
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.