How much rates vary
Facilitymedian $589 · 10th to 90th $120 to $955Professionalmedian $105 · 10th to 90th $87 to $145
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 $87.10 Typical High $151.36 | Professional | None (both parts) | $87.10 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $19.05 | $25.70 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $61.66 | $128.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $234.42 Median $616.60 Typical High $933.25 | Facility | None | $234.42 | $616.60 | $933.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $100.00 | $123.03 | $144.54 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $26.92 | $33.88 | $39.81 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $74.13 | $89.13 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $91.20 | $104.71 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $23.99 | $29.51 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $74.13 | $83.18 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $125.89 | Facility | None | $75.86 | $87.10 | $125.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $93.33 Typical High $134.90 | Professional | None (both parts) | $87.10 | $93.33 | $134.90 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $25.70 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $61.66 | $100.00 |
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 $107.15 Median $120.23 Typical High $120.23 | Facility | None | $107.15 | $120.23 | $120.23 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $123.03 | Professional | None (both parts) | $104.71 | $120.23 | $123.03 |
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 $85.11 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $85.11 | $100.00 | $117.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $23.44 | $26.92 | $33.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $63.10 | $74.13 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $63.10 Median $64.57 Typical High $758.58 | Facility | None | $63.10 | $64.57 | $758.58 |
Select Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $112.20 | Professional | None (both parts) | $63.10 | $83.18 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $70.79 | $128.82 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $36.31 | Professional | 26 · Professional part | $19.95 | $26.30 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $95.50 Typical High $213.80 | Professional | TC · Technical part | $51.29 | $95.50 | $213.80 |
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 $43.65 Median $43.65 Typical High $46.77 | Professional | 52 · Reduced service | $43.65 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $18.62 | Professional | 53 · Discontinued | $17.38 | $17.38 | $18.62 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $89.13 Typical High $104.71 | Professional | 78 · Unplanned return to OR | $72.44 | $89.13 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | 52 · Reduced service | $43.65 | $43.65 | $46.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $18.62 | Professional | 53 · Discontinued | $17.38 | $17.38 | $18.62 |
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· 16th of 51
$105
AK $162TX $51.29
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.