How much rates vary
Facilitymedian $468 · 10th to 90th $132 to $794Professionalmedian $372 · 10th to 90th $219 to $501
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 $478.63 Median $501.19 Typical High $3,981.07 | Facility | None | $478.63 | $501.19 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $436.52 | Professional | None (both parts) | $275.42 | $331.13 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $51.29 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $331.13 | Professional | TC · Technical part | $234.42 | $281.84 | $331.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $288.40 Median $467.74 Typical High $794.33 | Facility | None | $288.40 | $467.74 | $794.33 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $371.54 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $371.54 | $446.68 | $537.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $54.95 | $66.07 | $81.28 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $380.19 Typical High $457.09 | Professional | TC · Technical part | $316.23 | $380.19 | $457.09 |
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 $288.40 Median $363.08 Typical High $446.68 | Professional | None (both parts) | $288.40 | $363.08 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $53.70 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $380.19 | Professional | TC · Technical part | $245.47 | $309.03 | $380.19 |
Hally Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | None | $776.25 | $776.25 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $758.58 | Facility | None | $331.13 | $478.63 | $758.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $275.42 | $331.13 | $457.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $38.02 | $51.29 | $74.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $389.05 | Professional | TC · Technical part | $239.88 | $281.84 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $194.98 | Professional | None (both parts) | $33.11 | $33.11 | $194.98 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $52.48 Median $346.74 Typical High $407.38 | Facility | None | $52.48 | $346.74 | $407.38 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $52.48 Median $380.19 Typical High $416.87 | Professional | None (both parts) | $52.48 | $380.19 | $416.87 |
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 $371.54 Median $371.54 Typical High $467.74 | Professional | None (both parts) | $371.54 | $371.54 | $467.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $54.95 | $70.79 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $398.11 | Professional | TC · Technical part | $316.23 | $316.23 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $234.42 | Facility | None | $229.09 | $229.09 | $234.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $229.09 | $331.13 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $489.78 | Professional | None (both parts) | $269.15 | $380.19 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $39.81 | $54.95 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $416.87 | Professional | TC · Technical part | $234.42 | $323.59 | $416.87 |
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 $154.88 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $66.07 Typical High $74.13 | Professional | 53 · Discontinued | $61.66 | $66.07 | $74.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $346.74 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $263.03 | $346.74 | $380.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $165.96 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $66.07 Typical High $74.13 | Professional | 53 · Discontinued | $61.66 | $66.07 | $74.13 |
Where Idaho sits
The same service costs 3.1 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· 11th of 51
$372
AK $631UT $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.