How much rates vary
Facilitymedian $257 · 10th to 90th $178 to $933Professionalmedian $209 · 10th to 90th $162 to $295
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 $194.98 Median $223.87 Typical High $245.47 | Facility | None | $194.98 | $223.87 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $213.80 | Professional | None (both parts) | $147.91 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $125.89 | Professional | 26 · Professional part | $81.28 | $109.65 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $91.20 | Professional | TC · Technical part | $67.61 | $75.86 | $91.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $933.25 | Facility | None | $181.97 | $263.03 | $933.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $199.53 | $257.04 | $302.00 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $147.91 Typical High $173.78 | Professional | 26 · Professional part | $114.82 | $147.91 | $173.78 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $128.82 | Professional | TC · Technical part | $85.11 | $109.65 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $186.21 | $213.80 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $138.04 | Professional | 26 · Professional part | $107.15 | $123.03 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $104.71 | Professional | TC · Technical part | $79.43 | $91.20 | $104.71 |
Moda Health Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $269.15 | Facility | None | $186.21 | $223.87 | $269.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $251.19 | Professional | None (both parts) | $158.49 | $186.21 | $251.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $239.88 | Professional | 26 · Professional part | $87.10 | $109.65 | $239.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $107.15 | Professional | TC · Technical part | $69.18 | $75.86 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $33.11 | $33.11 | $56.23 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $257.04 | Facility | None | $229.09 | $257.04 | $257.04 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $263.03 | Professional | None (both parts) | $208.93 | $257.04 | $263.03 |
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 $169.82 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $169.82 | $199.53 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $100.00 | $114.82 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $72.44 | $85.11 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $208.93 | Facility | None | $134.90 | $134.90 | $208.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $134.90 | $169.82 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $151.36 | $204.17 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $114.82 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $69.18 | $89.13 | $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 $77.62 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $77.62 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $38.90 | Professional | 53 · Discontinued | $31.62 | $37.15 | $38.90 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $186.21 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $147.91 | $186.21 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $93.33 | $93.33 | $97.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $38.90 | Professional | 53 · Discontinued | $37.15 | $37.15 | $38.90 |
Where Idaho sits
The same service costs 4.0 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
$209
AK $339TX $85.11
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.