How much rates vary
Facilitymedian $245 · 10th to 90th $123 to $417Professionalmedian $126 · 10th to 90th $93 to $174
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 $123.03 Median $128.82 Typical High $162.18 | Facility | None | $123.03 | $128.82 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $104.71 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $18.62 | Professional | 26 · Professional part | $11.48 | $16.60 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | TC · Technical part | $91.20 | $91.20 | $125.89 |
BCBS Idaho Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $389.05 | Facility | None | $177.83 | $263.03 | $389.05 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $123.03 | $147.91 | $181.97 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $25.70 | Professional | 26 · Professional part | $17.38 | $21.38 | $25.70 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $154.88 | Professional | TC · Technical part | $104.71 | $128.82 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $380.19 Typical High $707.95 | Facility | None | $154.88 | $380.19 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $104.71 | $120.23 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.78 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $17.78 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $87.10 | $104.71 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $512.86 | Facility | None | $107.15 | $154.88 | $512.86 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $302.00 Typical High $831.76 | Facility | TC · Technical part | $109.65 | $302.00 | $831.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $93.33 | $123.03 | $165.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $22.91 | Professional | 26 · Professional part | $11.48 | $16.60 | $22.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $134.90 | Professional | TC · Technical part | $91.20 | $104.71 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $33.11 | $33.11 | $44.67 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $138.04 | Facility | None | $117.49 | $138.04 | $138.04 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $125.89 | $138.04 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $416.87 | Facility | None | $218.78 | $309.03 | $416.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $120.23 | $123.03 | $158.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $22.39 | Professional | 26 · Professional part | $17.38 | $17.38 | $22.39 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $134.90 | Professional | TC · Technical part | $102.33 | $104.71 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $77.62 Typical High $245.47 | Facility | None | $75.86 | $77.62 | $245.47 |
Select Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $75.86 | $109.65 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $91.20 | $128.82 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.38 Typical High $23.44 | Professional | 26 · Professional part | $12.88 | $17.38 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $77.62 | $109.65 | $158.49 |
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 $53.70 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.99 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $117.49 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $89.13 | $117.49 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $53.70 | $60.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.99 |
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
$129
AK $209UT $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.