How much rates vary
Facilitymedian $490 · 10th to 90th $214 to $759Professionalmedian $407 · 10th to 90th $162 to $550
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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $218.78 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $48.98 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $295.12 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $295.12 | $331.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $229.09 Median $549.54 Typical High $741.31 | Facility | None | $229.09 | $549.54 | $741.31 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $588.84 | Professional | None (both parts) | $407.38 | $478.63 | $588.84 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $67.61 | $83.18 | $102.33 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $489.78 | Professional | TC · Technical part | $338.84 | $398.11 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,348.96 | Facility | None | $316.23 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $467.74 | Professional | None (both parts) | $309.03 | $380.19 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $54.95 | $66.07 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $380.19 | Professional | TC · Technical part | $257.04 | $309.03 | $380.19 |
Hally Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $741.31 | Professional | None | $616.60 | $616.60 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $3,981.07 | Facility | None | $239.88 | $363.08 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $467.74 | Professional | None (both parts) | $229.09 | $363.08 | $467.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $48.98 | $64.57 | $83.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $407.38 | Professional | TC · Technical part | $177.83 | $295.12 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $134.90 | Professional | None (both parts) | $33.11 | $33.11 | $134.90 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $54.95 Median $380.19 Typical High $446.68 | Facility | None | $54.95 | $380.19 | $446.68 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $54.95 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $54.95 | $426.58 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $630.96 Typical High $794.33 | Facility | None | $446.68 | $630.96 | $794.33 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $398.11 Median $407.38 Typical High $524.81 | Professional | None (both parts) | $398.11 | $407.38 | $524.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $66.07 | $67.61 | $87.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $338.84 Typical High $436.52 | Professional | TC · Technical part | $331.13 | $338.84 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $602.56 | Facility | None | $251.19 | $257.04 | $602.56 |
Select Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $251.19 | $363.08 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $295.12 | $426.58 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $48.98 | $67.61 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $239.88 | $363.08 | $512.86 |
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 $141.25 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $141.25 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $72.44 Typical High $77.62 | Professional | 53 · Discontinued | $56.23 | $72.44 | $77.62 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $380.19 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $295.12 | $380.19 | $407.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $154.88 | $177.83 | $194.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $72.44 Typical High $77.62 | Professional | 53 · Discontinued | $61.66 | $72.44 | $77.62 |
Where Idaho sits
The same service costs 3.0 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
$407
AK $646UT $214
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.