How much rates vary
Facilitymedian $302 · 10th to 90th $129 to $501Professionalmedian $186 · 10th to 90th $105 to $251
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 $199.53 Median $199.53 Typical High $3,981.07 | Facility | None | $199.53 | $199.53 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $120.23 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $32.36 Typical High $37.15 | Professional | 26 · Professional part | $15.85 | $32.36 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $158.49 | Professional | TC · Technical part | $104.71 | $131.83 | $158.49 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $467.74 | Facility | None | $173.78 | $331.13 | $467.74 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $186.21 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $186.21 | $213.80 | $263.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $41.69 | $50.12 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $151.36 | $173.78 | $213.80 |
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 $154.88 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $154.88 | $181.97 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $41.69 | Professional | 26 · Professional part | $27.54 | $33.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $177.83 | Professional | TC · Technical part | $125.89 | $144.54 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | None | $354.81 | $354.81 | $426.58 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $457.09 Typical High $707.95 | Facility | None | $165.96 | $457.09 | $707.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $229.09 | Professional | None (both parts) | $123.03 | $177.83 | $229.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $16.22 | $32.36 | $39.81 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $186.21 | Professional | TC · Technical part | $107.15 | $131.83 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $33.11 | $33.11 | $64.57 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $31.62 Median $169.82 Typical High $199.53 | Facility | None | $31.62 | $169.82 | $199.53 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $31.62 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $31.62 | $190.55 | $204.17 |
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 $181.97 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $181.97 | $186.21 | $234.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $33.11 | $34.67 | $43.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $147.91 | $151.36 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $114.82 Typical High $602.56 | Facility | None | $112.20 | $114.82 | $602.56 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $112.20 | $162.18 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $275.42 | Professional | None (both parts) | $138.04 | $204.17 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $42.66 | Professional | 26 · Professional part | $20.42 | $26.30 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $169.82 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $169.82 | $251.19 |
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 $69.18 Median $83.18 Typical High $89.13 | Professional | 52 · Reduced service | $69.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $27.54 | $33.11 | $36.31 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $169.82 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $131.83 | $169.82 | $181.97 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $83.18 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $83.18 | $89.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $33.11 | $36.31 |
Where Idaho sits
The same service costs 3.2 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
$191
AK $302UT $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.