How much rates vary
Facilitymedian $537 · 10th to 90th $288 to $977Professionalmedian $398 · 10th to 90th $240 to $537
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 $354.81 Median $426.58 Typical High $3,981.07 | Facility | None | $354.81 | $426.58 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $263.03 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $77.62 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $281.84 | $331.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $363.08 Median $630.96 Typical High $851.14 | Facility | None | $363.08 | $630.96 | $851.14 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $398.11 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $398.11 | $467.74 | $562.34 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $117.49 | Professional | 26 · Professional part | $81.28 | $97.72 | $117.49 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $446.68 | Professional | TC · Technical part | $316.23 | $363.08 | $446.68 |
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 $338.84 Median $389.05 Typical High $478.63 | Professional | None (both parts) | $338.84 | $389.05 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $67.61 | $83.18 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $309.03 Typical High $371.54 | Professional | TC · Technical part | $269.15 | $309.03 | $371.54 |
Hally Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $776.25 | Professional | None | $512.86 | $512.86 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $831.76 Typical High $1,122.02 | Facility | None | $354.81 | $831.76 | $1,122.02 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $489.78 | Professional | None (both parts) | $263.03 | $371.54 | $489.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $257.04 | Professional | 26 · Professional part | $70.79 | $87.10 | $257.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $177.83 | $281.84 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $169.82 | Professional | None (both parts) | $33.11 | $33.11 | $169.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $72.44 Median $363.08 Typical High $426.58 | Facility | None | $72.44 | $363.08 | $426.58 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $72.44 Median $407.38 Typical High $436.52 | Professional | None (both parts) | $72.44 | $407.38 | $436.52 |
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 $389.05 Median $398.11 Typical High $501.19 | Professional | None (both parts) | $389.05 | $398.11 | $501.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $81.28 | $102.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $316.23 Typical High $398.11 | Professional | TC · Technical part | $309.03 | $316.23 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $245.47 Typical High $1,047.13 | Facility | None | $239.88 | $245.47 | $1,047.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $239.88 | $346.74 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $295.12 | $436.52 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $97.72 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $478.63 | Professional | TC · Technical part | $234.42 | $363.08 | $478.63 |
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 $144.54 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $144.54 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $57.54 | $70.79 | $77.62 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $363.08 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $281.84 | $363.08 | $398.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $158.49 | $177.83 | $194.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $70.79 | $77.62 |
Where Idaho sits
The same service costs 3.3 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
$407
MN $676UT $204
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.