How much rates vary
Facilitymedian $724 · 10th to 90th $427 to $1,288Professionalmedian $589 · 10th to 90th $417 to $832
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 $524.81 Median $602.56 Typical High $676.08 | Facility | None | $524.81 | $602.56 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $575.44 | Professional | None (both parts) | $331.13 | $501.19 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $79.43 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $426.58 Typical High $489.78 | Professional | TC · Technical part | $275.42 | $426.58 | $489.78 |
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 $588.84 Median $741.31 Typical High $870.96 | Professional | None (both parts) | $588.84 | $741.31 | $870.96 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $104.71 | $123.03 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $630.96 Typical High $741.31 | Professional | TC · Technical part | $501.19 | $630.96 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $575.44 Typical High $616.60 | Professional | None (both parts) | $457.09 | $575.44 | $616.60 |
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 $389.05 Median $489.78 Typical High $512.86 | Professional | TC · Technical part | $389.05 | $489.78 | $512.86 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $1,412.54 | Facility | None | $302.00 | $1,122.02 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $389.05 | $501.19 | $724.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $79.43 | $144.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $426.58 Typical High $630.96 | Professional | TC · Technical part | $309.03 | $426.58 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $33.11 | $33.11 | $53.70 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $724.44 | Facility | None | $645.65 | $724.44 | $724.44 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $602.56 Median $724.44 Typical High $741.31 | Professional | None (both parts) | $602.56 | $724.44 | $741.31 |
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 $501.19 Median $588.84 Typical High $676.08 | Professional | None (both parts) | $501.19 | $588.84 | $676.08 |
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 $426.58 Median $501.19 Typical High $562.34 | Professional | TC · Technical part | $426.58 | $501.19 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $389.05 Typical High $758.58 | Facility | None | $380.19 | $389.05 | $758.58 |
Select Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $676.08 | Professional | None (both parts) | $380.19 | $489.78 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $676.08 | Professional | None (both parts) | $371.54 | $512.86 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $81.28 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $426.58 Typical High $562.34 | Professional | TC · Technical part | $309.03 | $426.58 | $562.34 |
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 $208.93 Median $251.19 Typical High $263.03 | Professional | 52 · Reduced service | $208.93 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $100.00 Typical High $107.15 | Professional | 53 · Discontinued | $85.11 | $100.00 | $107.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $537.03 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $426.58 | $537.03 | $630.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | 52 · Reduced service | $251.19 | $251.19 | $263.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $107.15 | Professional | 53 · Discontinued | $100.00 | $100.00 | $107.15 |
Where Idaho sits
The same service costs 3.0 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
$589
AK $794NM $269
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.