How much rates vary
Facilitymedian $209 · 10th to 90th $51 to $513Professionalmedian $66 · 10th to 90th $37 to $87
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 Professional Modifier None (both parts) Typical Low $45.71 Median $52.48 Typical High $56.23 | Professional | None (both parts) | $45.71 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $12.30 | $17.38 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $35.48 Typical High $40.74 | Professional | TC · Technical part | $32.36 | $35.48 | $40.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $61.66 Median $208.93 Typical High $512.86 | Facility | None | $61.66 | $208.93 | $512.86 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $66.07 Median $69.18 Typical High $102.33 | Professional | None (both parts) | $66.07 | $69.18 | $102.33 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $26.92 | Professional | 26 · Professional part | $17.78 | $19.50 | $26.92 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $48.98 Typical High $74.13 | Professional | TC · Technical part | $47.86 | $48.98 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $63.10 | Professional | None (both parts) | $37.15 | $52.48 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.60 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $16.60 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $42.66 | Professional | TC · Technical part | $25.12 | $36.31 | $42.66 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $75.86 | Facility | None | $52.48 | $52.48 | $75.86 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $85.11 | Professional | None (both parts) | $52.48 | $56.23 | $85.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $21.88 | Professional | 26 · Professional part | $13.80 | $17.38 | $21.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $40.74 | Professional | TC · Technical part | $33.11 | $35.48 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $79.43 | Facility | None | $67.61 | $79.43 | $79.43 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $11.22 Median $79.43 Typical High $81.28 | Professional | None (both parts) | $11.22 | $79.43 | $81.28 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $741.31 | Facility | None | $295.12 | $478.63 | $741.31 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $64.57 | $66.07 | $66.07 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | 26 · Professional part | $17.78 | $17.78 | $20.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $44.67 | $47.86 | $47.86 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $45.71 | Facility | None | $44.67 | $44.67 | $45.71 |
Select Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $83.18 | Professional | None (both parts) | $44.67 | $44.67 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $77.62 | Professional | None (both parts) | $43.65 | $56.23 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.38 Typical High $23.44 | Professional | 26 · Professional part | $12.88 | $17.38 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $53.70 | Professional | TC · Technical part | $30.20 | $38.90 | $53.70 |
10 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 $26.30 Median $26.30 Typical High $28.18 | Professional | 52 · Reduced service | $26.30 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $11.22 | Professional | 53 · Discontinued | $10.47 | $10.47 | $11.22 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $47.86 Median $67.61 Typical High $74.13 | Professional | 78 · Unplanned return to OR | $47.86 | $67.61 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | 52 · Reduced service | $26.30 | $26.30 | $28.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $11.22 | Professional | 53 · Discontinued | $10.47 | $10.47 | $11.22 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 22 · Increased work | $75.86 | $75.86 | $75.86 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 54 · Surgery only | $47.86 | $47.86 | $47.86 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $6.92 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 63 · Small infant | $75.86 | $75.86 | $75.86 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 78 · Unplanned return to OR | $51.29 | $51.29 | $51.29 |
Where Idaho sits
The same service costs 2.9 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· 10th of 51
$66.07
AK $89.13UT $30.90
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.