How much rates vary
Facilitymedian $363 · 10th to 90th $155 to $617Professionalmedian $245 · 10th to 90th $186 to $339
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 $204.17 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $204.17 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $25.70 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | TC · Technical part | $177.83 | $177.83 | $239.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $549.54 | Facility | None | $181.97 | $398.11 | $549.54 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $354.81 | Professional | None (both parts) | $239.88 | $295.12 | $354.81 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $52.48 | Professional | 26 · Professional part | $34.67 | $42.66 | $52.48 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $204.17 | $251.19 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $851.14 Typical High $891.25 | Facility | None | $363.08 | $851.14 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $281.84 | Professional | None (both parts) | $199.53 | $229.09 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $41.69 | Professional | 26 · Professional part | $28.84 | $33.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $234.42 | Professional | TC · Technical part | $169.82 | $194.98 | $234.42 |
Hally Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $645.65 | Professional | None | $524.81 | $524.81 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $3,981.07 | Facility | None | $186.21 | $208.93 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $208.93 | $245.47 | $309.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $33.11 | $42.66 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $177.83 | $199.53 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | None (both parts) | $33.11 | $33.11 | $102.33 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $234.42 Median $275.42 Typical High $275.42 | Facility | None | $234.42 | $275.42 | $275.42 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $245.47 | $275.42 | $275.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $741.31 | Facility | None | $295.12 | $478.63 | $741.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $229.09 | $239.88 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $44.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $263.03 | Professional | TC · Technical part | $194.98 | $204.17 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $323.59 | Facility | None | $151.36 | $154.88 | $323.59 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $151.36 | $218.78 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $173.78 | $251.19 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $25.70 | $35.48 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $213.80 | $302.00 |
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 $104.71 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $41.69 | $41.69 | $45.71 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $229.09 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $169.82 | $229.09 | $251.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $114.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $41.69 | $41.69 | $45.71 |
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
$251
AK $417UT $126
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.