How much rates vary
Facilitymedian $324 · 10th to 90th $120 to $955Professionalmedian $204 · 10th to 90th $158 to $269
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $199.53 | Professional | None (both parts) | $125.89 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $63.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $107.15 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $107.15 | $120.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $954.99 | Facility | None | $123.03 | $380.19 | $954.99 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $204.17 | $234.42 | $275.42 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $134.90 | Professional | 26 · Professional part | $91.20 | $114.82 | $134.90 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $141.25 | Professional | TC · Technical part | $114.82 | $120.23 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $245.47 | Professional | None (both parts) | $181.97 | $218.78 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $109.65 | Professional | 26 · Professional part | $81.28 | $97.72 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $134.90 | Professional | TC · Technical part | $102.33 | $123.03 | $134.90 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $275.42 | Facility | None | $107.15 | $194.98 | $275.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $147.91 | $194.98 | $251.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $107.15 | Professional | 26 · Professional part | $69.18 | $87.10 | $107.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $120.23 | Professional | TC · Technical part | $75.86 | $107.15 | $120.23 |
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 $208.93 Median $234.42 Typical High $234.42 | Facility | None | $208.93 | $234.42 | $234.42 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $213.80 | $234.42 | $234.42 |
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 $173.78 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $173.78 | $204.17 | $251.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $112.20 | Professional | 26 · Professional part | $77.62 | $91.20 | $112.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $134.90 | Professional | TC · Technical part | $97.72 | $114.82 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $323.59 | Facility | None | $120.23 | $123.03 | $323.59 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $120.23 | $162.18 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $144.54 | $190.55 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $67.61 | $89.13 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $75.86 | $100.00 | $144.54 |
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 $74.13 Median $97.72 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $38.90 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $38.90 | $39.81 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $169.82 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $151.36 | $169.82 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $97.72 Typical High $100.00 | Professional | 52 · Reduced service | $95.50 | $97.72 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | 53 · Discontinued | $38.90 | $38.90 | $39.81 |
Where Idaho sits
The same service costs 4.6 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
$204
AK $331TX $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.