How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,230 to $3,802Professionalmedian $1,514 · 10th to 90th $1,148 to $1,995
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 $223.87 Median $1,819.70 Typical High $1,819.70 | Facility | None | $223.87 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,148.15 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $128.82 | $213.80 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,000.00 | $1,318.26 | $1,318.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,479.11 Median $2,570.40 Typical High $3,801.89 | Facility | None | $1,479.11 | $2,570.40 | $3,801.89 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,819.70 Typical High $2,137.96 | Professional | None (both parts) | $1,445.44 | $1,819.70 | $2,137.96 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $229.09 Typical High $269.15 | Professional | 26 · Professional part | $181.97 | $229.09 | $269.15 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,584.89 Typical High $1,862.09 | Professional | TC · Technical part | $1,288.25 | $1,584.89 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,412.54 Typical High $1,548.82 | Professional | None (both parts) | $1,202.26 | $1,412.54 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $194.98 Typical High $218.78 | Professional | 26 · Professional part | $169.82 | $194.98 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,230.27 Typical High $1,318.26 | Professional | TC · Technical part | $1,071.52 | $1,230.27 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $1,513.56 Typical High $2,187.76 | Facility | None | $223.87 | $1,513.56 | $2,187.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,513.56 Typical High $1,778.28 | Professional | None (both parts) | $1,174.90 | $1,513.56 | $1,778.28 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $213.80 Typical High $239.88 | Professional | 26 · Professional part | $134.90 | $213.80 | $239.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,318.26 Typical High $1,548.82 | Professional | TC · Technical part | $1,000.00 | $1,318.26 | $1,548.82 |
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 $1,584.89 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,584.89 | $1,778.28 | $1,778.28 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,778.28 Typical High $1,819.70 | Professional | None (both parts) | $1,513.56 | $1,778.28 | $1,819.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,778.28 Median $2,570.40 Typical High $3,388.44 | Facility | None | $1,778.28 | $2,570.40 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,445.44 Typical High $1,659.59 | Professional | None (both parts) | $1,230.27 | $1,445.44 | $1,659.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $181.97 Typical High $223.87 | Professional | 26 · Professional part | $154.88 | $181.97 | $223.87 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,288.25 Typical High $1,445.44 | Professional | TC · Technical part | $1,096.48 | $1,288.25 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $933.25 Median $954.99 Typical High $2,290.87 | Facility | None | $933.25 | $954.99 | $2,290.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,230.27 Typical High $1,479.11 | Professional | None (both parts) | $933.25 | $1,230.27 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,380.38 Typical High $1,819.70 | Professional | None (both parts) | $977.24 | $1,380.38 | $1,819.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $186.21 Typical High $245.47 | Professional | 26 · Professional part | $134.90 | $186.21 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,202.26 Typical High $1,584.89 | Professional | TC · Technical part | $831.76 | $1,202.26 | $1,584.89 |
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 $575.44 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $575.44 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $229.09 | $309.03 | $309.03 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,318.26 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,318.26 | $1,548.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $616.60 | $758.58 | $758.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $245.47 | $309.03 | $309.03 |
Where Idaho sits
The same service costs 2.9 times more in Alaska than in Texas. 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
$1,514
AK $2,138TX $741
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.