How much rates vary
Facilitymedian $589 · 10th to 90th $219 to $955Professionalmedian $263 · 10th to 90th $186 to $316
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 $177.83 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $177.83 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $147.91 | $204.17 | $204.17 |
BCBS Idaho Setting Facility Modifier None Typical Low $257.04 Median $630.96 Typical High $933.25 | Facility | None | $257.04 | $630.96 | $933.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $263.03 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $263.03 | $269.15 | $316.23 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $50.12 | $60.26 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $229.09 Typical High $257.04 | Professional | TC · Technical part | $213.80 | $229.09 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $263.03 | Professional | None (both parts) | $190.55 | $229.09 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $36.31 | $43.65 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $186.21 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $245.47 Typical High $346.74 | Facility | None | $74.13 | $245.47 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $190.55 | $245.47 | $309.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $39.81 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $218.78 | Professional | TC · Technical part | $151.36 | $204.17 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $114.82 | Professional | None (both parts) | $33.11 | $33.11 | $114.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $239.88 Median $269.15 Typical High $269.15 | Facility | None | $239.88 | $269.15 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $275.42 | Professional | None (both parts) | $269.15 | $269.15 | $275.42 |
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 $223.87 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $223.87 | $263.03 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $40.74 | $51.29 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $257.04 | Professional | TC · Technical part | $190.55 | $223.87 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $741.31 | Facility | None | $141.25 | $141.25 | $741.31 |
Select Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $141.25 | $194.98 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $151.36 | $218.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $39.81 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $181.97 | $239.88 |
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 $95.50 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $38.02 | $48.98 | $48.98 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $194.98 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $186.21 | $194.98 | $229.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $104.71 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $41.69 | $48.98 | $48.98 |
Where Idaho sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 9th of 51
$263
AK $347NM $120
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.