How much rates vary
Facilitymedian $741 · 10th to 90th $468 to $1,072Professionalmedian $661 · 10th to 90th $479 to $955
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 $588.84 Median $676.08 Typical High $758.58 | Facility | None | $588.84 | $676.08 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $562.34 Typical High $588.84 | Professional | None (both parts) | $407.38 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $89.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $446.68 Typical High $478.63 | Professional | TC · Technical part | $316.23 | $446.68 | $478.63 |
BCBS Idaho Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,071.52 | Facility | None | $512.86 | $794.33 | $1,071.52 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $660.69 | $851.14 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $162.18 Typical High $190.55 | Professional | 26 · Professional part | $125.89 | $162.18 | $190.55 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $691.83 Typical High $812.83 | Professional | TC · Technical part | $537.03 | $691.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $660.69 Typical High $691.83 | Professional | None (both parts) | $524.81 | $660.69 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $151.36 | Professional | 26 · Professional part | $112.20 | $138.04 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $512.86 Typical High $562.34 | Professional | TC · Technical part | $407.38 | $512.86 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $1,479.11 | Facility | None | $562.34 | $676.08 | $1,479.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $562.34 Typical High $831.76 | Professional | None (both parts) | $436.52 | $562.34 | $831.76 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $120.23 | $190.55 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $346.74 | $446.68 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $85.11 | Professional | None (both parts) | $33.11 | $33.11 | $85.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $758.58 Median $851.14 Typical High $851.14 | Facility | None | $758.58 | $851.14 | $851.14 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $676.08 Median $851.14 Typical High $870.96 | Professional | None (both parts) | $676.08 | $851.14 | $870.96 |
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 $575.44 Median $660.69 Typical High $758.58 | Professional | None (both parts) | $575.44 | $660.69 | $758.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $107.15 | $125.89 | $154.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $537.03 Typical High $602.56 | Professional | TC · Technical part | $467.74 | $537.03 | $602.56 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $457.09 Typical High $660.69 | Facility | None | $446.68 | $457.09 | $660.69 |
Select Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $446.68 | $562.34 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $602.56 Typical High $794.33 | Professional | None (both parts) | $436.52 | $602.56 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $93.33 | $125.89 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $489.78 Typical High $616.60 | Professional | TC · Technical part | $346.74 | $489.78 | $616.60 |
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 $239.88 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $120.23 | Professional | 53 · Discontinued | $95.50 | $112.20 | $120.23 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $616.60 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $478.63 | $616.60 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $281.84 | $281.84 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 53 · Discontinued | $112.20 | $112.20 | $120.23 |
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
$661
AK $977NM $302
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.