How much rates vary
Facilitymedian $219 · 10th to 90th $112 to $389Professionalmedian $170 · 10th to 90th $132 to $240
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 $104.71 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $104.71 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $52.48 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $51.29 | $83.18 | $97.72 |
BCBS Idaho Setting Facility Modifier None Typical Low $114.82 Median $218.78 Typical High $389.05 | Facility | None | $114.82 | $218.78 | $389.05 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $165.96 | $213.80 | $251.19 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $95.50 | $112.20 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $141.25 | Professional | TC · Technical part | $93.33 | $120.23 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $147.91 | $186.21 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $89.13 | Professional | 26 · Professional part | $66.07 | $81.28 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $112.20 | Professional | TC · Technical part | $83.18 | $100.00 | $112.20 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $218.78 | Facility | None | $104.71 | $154.88 | $218.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $134.90 | $154.88 | $208.93 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $70.79 | $89.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $83.18 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | None (both parts) | $33.11 | $33.11 | $48.98 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $213.80 | Facility | None | $190.55 | $213.80 | $213.80 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $218.78 | Professional | None (both parts) | $173.78 | $213.80 | $218.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $416.87 | Facility | None | $218.78 | $309.03 | $416.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $141.25 | $165.96 | $199.53 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $64.57 | $74.13 | $91.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $109.65 | Professional | TC · Technical part | $79.43 | $93.33 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $114.82 Typical High $281.84 | Facility | None | $112.20 | $114.82 | $281.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $112.20 | $141.25 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $120.23 | $154.88 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $74.13 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $60.26 | $81.28 | $123.03 |
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 $60.26 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $60.26 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $30.90 | $32.36 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $154.88 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $123.03 | $154.88 | $181.97 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $77.62 | $77.62 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $30.90 | $30.90 | $32.36 |
Where Idaho sits
The same service costs 3.9 times more in Alaska than in Texas. 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
$174
AK $282TX $72.44
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.