How much rates vary
Facilitymedian $589 · 10th to 90th $200 to $955Professionalmedian $269 · 10th to 90th $191 to $347
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 $162.18 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $162.18 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $28.84 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $162.18 | $165.96 |
BCBS Idaho Setting Facility Modifier None Typical Low $239.88 Median $630.96 Typical High $912.01 | Facility | None | $239.88 | $630.96 | $912.01 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $354.81 | Professional | None (both parts) | $269.15 | $302.00 | $354.81 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $50.12 | $58.88 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $257.04 Typical High $302.00 | Professional | TC · Technical part | $234.42 | $257.04 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $173.78 | $218.78 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $43.65 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $190.55 | Professional | TC · Technical part | $138.04 | $173.78 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $199.53 Typical High $281.84 | Facility | None | $75.86 | $199.53 | $281.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $190.55 | $199.53 | $295.12 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $32.36 | $37.15 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $154.88 | $162.18 | $251.19 |
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 $269.15 Median $302.00 Typical High $302.00 | Facility | None | $269.15 | $302.00 | $302.00 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $281.84 Median $302.00 Typical High $309.03 | Professional | None (both parts) | $281.84 | $302.00 | $309.03 |
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 $229.09 Median $269.15 Typical High $288.40 | Professional | None (both parts) | $229.09 | $269.15 | $288.40 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $48.98 | Professional | 26 · Professional part | $34.67 | $39.81 | $48.98 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $239.88 | Professional | TC · Technical part | $194.98 | $234.42 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $741.31 | Facility | None | $158.49 | $158.49 | $741.31 |
Select Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $158.49 | $223.87 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $141.25 | $208.93 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $38.90 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $229.09 | Professional | TC · Technical part | $112.20 | $177.83 | $229.09 |
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 $93.33 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $93.33 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $38.02 | $39.81 | $39.81 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $218.78 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $194.98 | $218.78 | $257.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $93.33 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $38.02 | $39.81 | $39.81 |
Where Idaho sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 10th of 51
$269
AK $324KY $115
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.