How much rates vary
Facilitymedian $240 · 10th to 90th $112 to $347Professionalmedian $240 · 10th to 90th $71 to $302
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 $104.71 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $104.71 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $37.15 | Professional | 26 · Professional part | $32.36 | $34.67 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $141.25 Typical High $151.36 | Professional | TC · Technical part | $72.44 | $141.25 | $151.36 |
BCBS Idaho Setting Facility Modifier None Typical Low $117.49 Median $245.47 Typical High $331.13 | Facility | None | $117.49 | $245.47 | $331.13 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $239.88 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $239.88 | $257.04 | $309.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $66.07 | $81.28 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $190.55 | $204.17 | $229.09 |
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 $186.21 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $186.21 | $234.42 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $30.90 | $37.15 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $234.42 | Professional | TC · Technical part | $154.88 | $194.98 | $234.42 |
Hally Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $446.68 | Professional | None | $371.54 | $371.54 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $3,981.07 | Facility | None | $158.49 | $177.83 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $120.23 | $186.21 | $295.12 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $34.67 | $63.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $141.25 Typical High $239.88 | Professional | TC · Technical part | $85.11 | $141.25 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $33.11 | $33.11 | $70.79 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $44.67 Median $204.17 Typical High $239.88 | Facility | None | $44.67 | $204.17 | $239.88 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $44.67 Median $239.88 Typical High $245.47 | Professional | None (both parts) | $44.67 | $239.88 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $363.08 | Facility | None | $208.93 | $288.40 | $363.08 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $234.42 | $239.88 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $36.31 | $36.31 | $46.77 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $257.04 | Professional | TC · Technical part | $194.98 | $204.17 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $134.90 Typical High $245.47 | Facility | None | $131.83 | $134.90 | $245.47 |
Select Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $131.83 | $190.55 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $173.78 | $257.04 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $39.81 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $218.78 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $218.78 | $309.03 |
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 $70.79 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $70.79 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $35.48 Typical High $37.15 | Professional | 53 · Discontinued | $28.18 | $35.48 | $37.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $199.53 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $173.78 | $199.53 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $87.10 | $87.10 | $91.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $35.48 Typical High $37.15 | Professional | 53 · Discontinued | $34.67 | $35.48 | $37.15 |
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· 12th of 51
$240
AK $407UT $117
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.