How much rates vary
Facilitymedian $309 · 10th to 90th $170 to $513Professionalmedian $200 · 10th to 90th $155 to $275
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 $204.17 Median $204.17 Typical High $3,981.07 | Facility | None | $204.17 | $204.17 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $165.96 | $169.82 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $33.88 | Professional | 26 · Professional part | $21.38 | $29.51 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $141.25 | $141.25 | $199.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $204.17 Median $371.54 Typical High $512.86 | Facility | None | $204.17 | $371.54 | $512.86 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $194.98 | $239.88 | $288.40 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $38.90 | $46.77 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $162.18 | $199.53 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $467.74 Typical High $851.14 | Facility | None | $190.55 | $467.74 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $229.09 | Professional | None (both parts) | $162.18 | $186.21 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $25.70 | $30.90 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $134.90 | $154.88 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $512.86 | Professional | None | $446.68 | $446.68 | $512.86 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $602.56 | Facility | None | $169.82 | $204.17 | $602.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $169.82 | $194.98 | $251.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $29.51 | $41.69 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $208.93 | Professional | TC · Technical part | $141.25 | $158.49 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $83.18 | Professional | None (both parts) | $33.11 | $33.11 | $83.18 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $218.78 | Facility | None | $186.21 | $218.78 | $218.78 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $199.53 Median $218.78 Typical High $223.87 | Professional | None (both parts) | $199.53 | $218.78 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $512.86 | Facility | None | $269.15 | $389.05 | $512.86 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $186.21 | $194.98 | $251.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $31.62 | $31.62 | $40.74 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $154.88 | $162.18 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $125.89 Typical High $331.13 | Facility | None | $123.03 | $125.89 | $331.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $123.03 | $177.83 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $275.42 | Professional | None (both parts) | $141.25 | $204.17 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $32.36 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $169.82 | $239.88 |
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 $85.11 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $85.11 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $33.88 | $33.88 | $37.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $186.21 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $138.04 | $186.21 | $204.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $85.11 | $85.11 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $33.88 | $33.88 | $37.15 |
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
$200
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.