How much rates vary
Facilitymedian $158 · 10th to 90th $83 to $204Professionalmedian $126 · 10th to 90th $98 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 $85.11 Median $117.49 Typical High $120.23 | Professional | None (both parts) | $85.11 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $38.02 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $72.44 | Professional | TC · Technical part | $44.67 | $64.57 | $72.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $46.77 Median $177.83 Typical High $204.17 | Facility | None | $46.77 | $177.83 | $204.17 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $123.03 | $158.49 | $186.21 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $69.18 | $81.28 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $107.15 | Professional | TC · Technical part | $69.18 | $91.20 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $109.65 | $131.83 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $64.57 | Professional | 26 · Professional part | $47.86 | $56.23 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $61.66 | $74.13 | $83.18 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $165.96 | Facility | None | $117.49 | $117.49 | $165.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $97.72 | $117.49 | $154.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $51.29 | $64.57 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $53.70 | $64.57 | $89.13 |
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 $141.25 Median $158.49 Typical High $158.49 | Facility | None | $141.25 | $158.49 | $158.49 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $162.18 | Professional | None (both parts) | $128.82 | $158.49 | $162.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $104.71 | $123.03 | $147.91 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $53.70 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $58.88 | $69.18 | $81.28 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $85.11 | Facility | None | $83.18 | $83.18 | $85.11 |
Select Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $83.18 | $104.71 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $87.10 | $117.49 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $53.70 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $47.86 | $63.10 | $85.11 |
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 $44.67 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $44.67 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $23.44 Typical High $23.99 | Professional | 53 · Discontinued | $17.78 | $23.44 | $23.99 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $114.82 Typical High $134.90 | Professional | 78 · Unplanned return to OR | $91.20 | $114.82 | $134.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $58.88 | $60.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.99 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.99 |
Where Idaho sits
The same service costs 3.0 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
$126
AK $204TX $67.61
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.