How much rates vary
Facilitymedian $603 · 10th to 90th $204 to $955Professionalmedian $234 · 10th to 90th $182 to $282
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 $173.78 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $173.78 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $32.36 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $141.25 | $173.78 | $173.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $251.19 Median $691.83 Typical High $933.25 | Facility | None | $251.19 | $691.83 | $933.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $234.42 | $245.47 | $288.40 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $39.81 | $48.98 | $57.54 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $199.53 Typical High $229.09 | Professional | TC · Technical part | $190.55 | $199.53 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $177.83 | $218.78 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $48.98 | Professional | 26 · Professional part | $35.48 | $42.66 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $194.98 | Professional | TC · Technical part | $141.25 | $169.82 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $208.93 Typical High $302.00 | Facility | None | $74.13 | $208.93 | $302.00 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $204.17 | $208.93 | $269.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $38.90 | $45.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $190.55 | Professional | TC · Technical part | $158.49 | $173.78 | $190.55 |
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 $213.80 Median $239.88 Typical High $239.88 | Facility | None | $213.80 | $239.88 | $239.88 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | None (both parts) | $239.88 | $239.88 | $245.47 |
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 $199.53 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $199.53 | $234.42 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $33.88 | $39.81 | $50.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $223.87 | Professional | TC · Technical part | $165.96 | $194.98 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $831.76 | Facility | None | $125.89 | $128.82 | $831.76 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $229.09 | Professional | None (both parts) | $125.89 | $177.83 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $141.25 | $208.93 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $39.81 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $169.82 | $218.78 |
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 $85.11 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $85.11 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $34.67 | $42.66 | $42.66 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $177.83 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $165.96 | $177.83 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $95.50 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $38.90 | $42.66 | $42.66 |
Where Idaho sits
The same service costs 3.2 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· 12th of 51
$234
AK $324TX $102
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.