How much rates vary
Facilitymedian $275 · 10th to 90th $91 to $479Professionalmedian $132 · 10th to 90th $100 to $182
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 $87.10 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $87.10 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $45.71 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $63.10 | Professional | TC · Technical part | $40.74 | $58.88 | $63.10 |
BCBS Idaho Setting Facility Modifier None Typical Low $97.72 Median $295.12 Typical High $416.87 | Facility | None | $97.72 | $295.12 | $416.87 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $131.83 | $165.96 | $194.98 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $83.18 | $97.72 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $95.50 | Professional | TC · Technical part | $66.07 | $81.28 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $112.20 | $138.04 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $70.79 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $70.79 | Professional | TC · Technical part | $53.70 | $63.10 | $70.79 |
Moda Health Setting Facility Modifier None Typical Low $72.44 Median $120.23 Typical High $173.78 | Facility | None | $72.44 | $120.23 | $173.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $100.00 | $120.23 | $158.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $61.66 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $81.28 | Professional | TC · Technical part | $44.67 | $58.88 | $81.28 |
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 $144.54 Median $162.18 Typical High $162.18 | Facility | None | $144.54 | $162.18 | $162.18 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $165.96 | Professional | None (both parts) | $138.04 | $162.18 | $165.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $407.38 Typical High $512.86 | Facility | None | $269.15 | $407.38 | $512.86 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $154.88 | Professional | None (both parts) | $112.20 | $131.83 | $154.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $56.23 | $64.57 | $81.28 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $75.86 | Professional | TC · Technical part | $56.23 | $66.07 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $87.10 Typical High $323.59 | Facility | None | $85.11 | $87.10 | $323.59 |
Select Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $85.11 | $112.20 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $89.13 | $123.03 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $48.98 | $64.57 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $57.54 | $74.13 |
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 $47.86 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $47.86 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $19.05 | $23.99 | $23.99 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $117.49 Typical High $138.04 | Professional | 78 · Unplanned return to OR | $95.50 | $117.49 | $138.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $60.26 | $60.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.44 | $23.99 | $23.99 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in Alabama. 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
$135
AK $219AL $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.