How much rates vary
Facilitymedian $245 · 10th to 90th $145 to $389Professionalmedian $240 · 10th to 90th $186 to $331
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $234.42 | Professional | None (both parts) | $147.91 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $83.18 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $109.65 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $109.65 | $128.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $389.05 | Facility | None | $117.49 | $223.87 | $389.05 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $239.88 | $295.12 | $346.74 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $151.36 | $177.83 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $120.23 | $144.54 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $213.80 | $257.04 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $104.71 | $128.82 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $151.36 | Professional | TC · Technical part | $109.65 | $131.83 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $316.23 | Facility | None | $131.83 | $223.87 | $316.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $181.97 | $223.87 | $288.40 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $112.20 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $109.65 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $77.62 | Professional | None (both parts) | $33.11 | $33.11 | $77.62 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $257.04 Median $288.40 Typical High $288.40 | Facility | None | $257.04 | $288.40 | $288.40 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $295.12 | Professional | None (both parts) | $251.19 | $288.40 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $416.87 | Facility | None | $218.78 | $331.13 | $416.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $204.17 | $239.88 | $288.40 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $102.33 | $117.49 | $147.91 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $141.25 | Professional | TC · Technical part | $102.33 | $120.23 | $141.25 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $371.54 | Facility | None | $151.36 | $154.88 | $371.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $151.36 | $199.53 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $173.78 | $223.87 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $117.49 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $107.15 | $162.18 |
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 $87.10 Median $112.20 Typical High $117.49 | Professional | 52 · Reduced service | $87.10 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $44.67 Typical High $46.77 | Professional | 53 · Discontinued | $34.67 | $44.67 | $46.77 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $213.80 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $173.78 | $213.80 | $251.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 52 · Reduced service | $112.20 | $112.20 | $117.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $46.77 | Professional | 53 · Discontinued | $44.67 | $44.67 | $46.77 |
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
$240
AK $398TX $102
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.