How much rates vary
Facilitymedian $871 · 10th to 90th $129 to $1,622Professionalmedian $129 · 10th to 90th $45 to $178
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 Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $134.90 | Professional | None (both parts) | $109.65 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $43.65 | $53.70 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $85.11 | Professional | TC · Technical part | $67.61 | $75.86 | $85.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $194.98 Median $870.96 Typical High $1,621.81 | Facility | None | $194.98 | $870.96 | $1,621.81 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $144.54 | Professional | None (both parts) | $44.67 | $52.48 | $144.54 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $83.18 | Professional | 26 · Professional part | $56.23 | $70.79 | $83.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $89.13 | Professional | TC · Technical part | $13.80 | $16.22 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $123.03 | $154.88 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $50.12 | $61.66 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $97.72 | Professional | TC · Technical part | $72.44 | $89.13 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $128.82 Typical High $186.21 | Facility | None | $123.03 | $128.82 | $186.21 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $128.82 Typical High $134.90 | Professional | None (both parts) | $69.18 | $128.82 | $134.90 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $50.12 | $53.70 | $67.61 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | TC · Technical part | $75.86 | $75.86 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $33.11 | $33.11 | $37.15 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $154.88 Median $173.78 Typical High $173.78 | Facility | None | $154.88 | $173.78 | $173.78 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | None (both parts) | $173.78 | $173.78 | $177.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,737.80 | Facility | None | $954.99 | $1,348.96 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $154.88 | Professional | None (both parts) | $123.03 | $144.54 | $154.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $56.23 | $70.79 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $93.33 | Professional | TC · Technical part | $75.86 | $89.13 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $52.48 Median $53.70 Typical High $1,096.48 | Facility | None | $52.48 | $53.70 | $1,096.48 |
Select Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $8,511.38 | Professional | None (both parts) | $44.67 | $52.48 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $87.10 | $263.03 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $56.23 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $52.48 | $218.78 | $346.74 |
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 $54.95 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $26.30 | $26.92 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $31.62 Median $35.48 Typical High $37.15 | Professional | 78 · Unplanned return to OR | $31.62 | $35.48 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $64.57 | $64.57 | $67.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $25.70 | $26.30 | $26.92 |
Where Idaho sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 18th of 51
$129
HI $309KY $57.54
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.