How much rates vary
Facilitymedian $355 · 10th to 90th $158 to $832Professionalmedian $178 · 10th to 90th $87 to $240
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 $158.49 Median $190.55 Typical High $346.74 | Facility | None | $158.49 | $190.55 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $125.89 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $21.38 | $29.51 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $104.71 | $128.82 | $169.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $501.19 | Facility | None | $194.98 | $354.81 | $501.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $177.83 | $208.93 | $251.19 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $30.90 | $38.02 | $45.71 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $147.91 | $169.82 | $208.93 |
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 $144.54 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $144.54 | $173.78 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $30.90 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $117.49 | $141.25 | $165.96 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | None | $323.59 | $323.59 | $363.08 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $676.08 Typical High $870.96 | Facility | None | $173.78 | $676.08 | $870.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $457.09 Typical High $891.25 | Facility | TC · Technical part | $141.25 | $457.09 | $891.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $114.82 | $158.49 | $234.42 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $70.79 | Professional | 26 · Professional part | $21.38 | $30.90 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $107.15 | $128.82 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $33.11 | $33.11 | $63.10 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $27.54 Median $162.18 Typical High $194.98 | Facility | None | $27.54 | $162.18 | $194.98 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $27.54 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $27.54 | $181.97 | $194.98 |
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 $173.78 Median $177.83 Typical High $229.09 | Professional | None (both parts) | $173.78 | $177.83 | $229.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $30.90 | $39.81 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $186.21 | Professional | TC · Technical part | $144.54 | $147.91 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $707.95 | Facility | None | $107.15 | $109.65 | $707.95 |
Select Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $107.15 | $154.88 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $131.83 | $181.97 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $31.62 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $107.15 | $147.91 | $218.78 |
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 $70.79 Median $79.43 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $31.62 | $34.67 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $162.18 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $128.82 | $162.18 | $177.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $79.43 Typical High $87.10 | Professional | 52 · Reduced service | $72.44 | $79.43 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $31.62 | $34.67 |
Where Idaho sits
The same service costs 4.0 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· 13th of 51
$182
MN $380UT $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.