How much rates vary
Facilitymedian $676 · 10th to 90th $417 to $1,023Professionalmedian $525 · 10th to 90th $398 to $759
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 $524.81 Typical High $616.60 | Facility | None | $478.63 | $524.81 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $489.78 | Professional | None (both parts) | $354.81 | $457.09 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $57.54 | $79.43 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $380.19 Typical High $416.87 | Professional | TC · Technical part | $295.12 | $380.19 | $416.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,071.52 | Facility | None | $478.63 | $741.31 | $1,071.52 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $524.81 Median $691.83 Typical High $812.83 | Professional | None (both parts) | $524.81 | $691.83 | $812.83 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $128.82 | Professional | 26 · Professional part | $83.18 | $107.15 | $128.82 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $575.44 Typical High $676.08 | Professional | TC · Technical part | $436.52 | $575.44 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $562.34 | Professional | None (both parts) | $426.58 | $537.03 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $97.72 | Professional | 26 · Professional part | $74.13 | $91.20 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $436.52 Typical High $467.74 | Professional | TC · Technical part | $346.74 | $436.52 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $660.69 Typical High $1,122.02 | Facility | None | $457.09 | $660.69 | $1,122.02 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $676.08 | Professional | None (both parts) | $389.05 | $457.09 | $676.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $79.43 | $125.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $562.34 | Professional | TC · Technical part | $302.00 | $380.19 | $562.34 |
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 $602.56 Median $676.08 Typical High $676.08 | Facility | None | $602.56 | $676.08 | $676.08 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $537.03 Median $676.08 Typical High $691.83 | Professional | None (both parts) | $537.03 | $676.08 | $691.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $1,023.29 | Facility | None | $512.86 | $741.31 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $446.68 | $524.81 | $602.56 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $83.18 | $102.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $436.52 Typical High $501.19 | Professional | TC · Technical part | $380.19 | $436.52 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $363.08 Typical High $660.69 | Facility | None | $354.81 | $363.08 | $660.69 |
Select Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $436.52 Typical High $630.96 | Professional | None (both parts) | $354.81 | $436.52 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $489.78 Typical High $645.65 | Professional | None (both parts) | $354.81 | $489.78 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $81.28 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $416.87 Typical High $537.03 | Professional | TC · Technical part | $288.40 | $416.87 | $537.03 |
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 $194.98 Median $229.09 Typical High $239.88 | Professional | 52 · Reduced service | $194.98 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $91.20 Typical High $97.72 | Professional | 53 · Discontinued | $77.62 | $91.20 | $97.72 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $380.19 | $501.19 | $588.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | 52 · Reduced service | $229.09 | $229.09 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | 53 · Discontinued | $91.20 | $91.20 | $97.72 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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
$537
AK $776NM $240
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.