How much rates vary
Facilitymedian $550 · 10th to 90th $251 to $1,047Professionalmedian $282 · 10th to 90th $170 to $380
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 $288.40 Median $302.00 Typical High $380.19 | Facility | None | $288.40 | $302.00 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $316.23 | Professional | None (both parts) | $199.53 | $251.19 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $46.77 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $269.15 | Professional | TC · Technical part | $165.96 | $204.17 | $269.15 |
BCBS Idaho Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $851.14 | Facility | None | $398.11 | $630.96 | $851.14 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $398.11 | Professional | None (both parts) | $281.84 | $331.13 | $398.11 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $47.86 | $58.88 | $70.79 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $331.13 | Professional | TC · Technical part | $229.09 | $269.15 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,348.96 | Facility | None | $316.23 | $776.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $234.42 | $275.42 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $47.86 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $275.42 | Professional | TC · Technical part | $194.98 | $223.87 | $275.42 |
Hally Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $724.44 | Professional | None | $316.23 | $316.23 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $831.76 Typical High $1,318.26 | Facility | None | $251.19 | $831.76 | $1,318.26 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $954.99 Typical High $1,698.24 | Facility | TC · Technical part | $245.47 | $954.99 | $1,698.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $199.53 | $269.15 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $33.11 | $46.77 | $97.72 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $204.17 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $97.72 | Professional | None (both parts) | $33.11 | $33.11 | $97.72 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $43.65 Median $257.04 Typical High $302.00 | Facility | None | $43.65 | $257.04 | $302.00 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $43.65 Median $288.40 Typical High $309.03 | Professional | None (both parts) | $43.65 | $288.40 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $630.96 Typical High $794.33 | Facility | None | $446.68 | $630.96 | $794.33 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $275.42 | $281.84 | $354.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $47.86 | $47.86 | $61.66 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $295.12 | Professional | TC · Technical part | $229.09 | $229.09 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $169.82 Median $173.78 Typical High $977.24 | Facility | None | $169.82 | $173.78 | $977.24 |
Select Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $169.82 | $245.47 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $295.12 Typical High $426.58 | Professional | None (both parts) | $208.93 | $295.12 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $48.98 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $245.47 | $371.54 |
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 $112.20 Median $125.89 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $50.12 | $54.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $257.04 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $199.53 | $257.04 | $281.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $125.89 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $125.89 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $50.12 | $54.95 |
Where Idaho sits
The same service costs 3.5 times more in Minnesota 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
$288
MN $550UT $158
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.