How much rates vary
Facilitymedian $776 · 10th to 90th $457 to $1,175Professionalmedian $676 · 10th to 90th $490 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 $616.60 Median $707.95 Typical High $891.25 | Facility | None | $616.60 | $707.95 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $588.84 Typical High $676.08 | Professional | None (both parts) | $371.54 | $588.84 | $676.08 |
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 $316.23 Median $512.86 Typical High $588.84 | Professional | TC · Technical part | $316.23 | $512.86 | $588.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $1,071.52 | Facility | None | $478.63 | $758.58 | $1,071.52 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $676.08 Median $870.96 Typical High $1,023.29 | Professional | None (both parts) | $676.08 | $870.96 | $1,023.29 |
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 $602.56 Median $758.58 Typical High $891.25 | Professional | TC · Technical part | $602.56 | $758.58 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $691.83 Typical High $741.31 | Professional | None (both parts) | $549.54 | $691.83 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $74.13 | $91.20 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $602.56 Typical High $645.65 | Professional | TC · Technical part | $478.63 | $602.56 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,348.96 | Facility | None | $588.84 | $851.14 | $1,348.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $588.84 Typical High $851.14 | Professional | None (both parts) | $436.52 | $588.84 | $851.14 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $79.43 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $512.86 Typical High $741.31 | Professional | TC · Technical part | $371.54 | $512.86 | $741.31 |
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 $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 $691.83 Median $851.14 Typical High $870.96 | Professional | None (both parts) | $691.83 | $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 $588.84 Median $676.08 Typical High $776.25 | Professional | None (both parts) | $588.84 | $676.08 | $776.25 |
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 $512.86 Median $602.56 Typical High $676.08 | Professional | TC · Technical part | $512.86 | $602.56 | $676.08 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $457.09 Typical High $831.76 | Facility | None | $446.68 | $457.09 | $831.76 |
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 $588.84 Typical High $794.33 | Professional | None (both parts) | $436.52 | $588.84 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $83.18 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $501.19 Typical High $691.83 | Professional | TC · Technical part | $380.19 | $501.19 | $691.83 |
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 $245.47 Median $295.12 Typical High $316.23 | Professional | 52 · Reduced service | $245.47 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $97.72 | $117.49 | $128.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $616.60 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $489.78 | $616.60 | $741.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | 52 · Reduced service | $295.12 | $295.12 | $316.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $117.49 | $117.49 | $128.82 |
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
$676
AK $933NM $309
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.