How much rates vary
Facilitymedian $151 · 10th to 90th $79 to $204Professionalmedian $123 · 10th to 90th $105 to $174
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 $89.13 Median $114.82 Typical High $117.49 | Professional | None (both parts) | $89.13 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $77.62 | Professional | TC · Technical part | $56.23 | $70.79 | $77.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $77.62 Median $147.91 Typical High $204.17 | Facility | None | $77.62 | $147.91 | $204.17 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $181.97 | Professional | None (both parts) | $123.03 | $154.88 | $181.97 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $58.88 | $69.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $77.62 | $95.50 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $141.25 | Professional | None (both parts) | $107.15 | $134.90 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $54.95 | Professional | 26 · Professional part | $40.74 | $50.12 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $89.13 | Professional | TC · Technical part | $66.07 | $81.28 | $89.13 |
Moda Health Setting Facility Modifier None Typical Low $72.44 Median $114.82 Typical High $162.18 | Facility | None | $72.44 | $114.82 | $162.18 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $114.82 | $114.82 | $151.36 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $40.74 | $43.65 | $54.95 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | TC · Technical part | $70.79 | $70.79 | $93.33 |
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 $134.90 Median $151.36 Typical High $151.36 | Facility | None | $134.90 | $151.36 | $151.36 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $154.88 | Professional | None (both parts) | $128.82 | $151.36 | $154.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $158.49 Typical High $199.53 | Facility | None | $107.15 | $158.49 | $199.53 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $104.71 | $123.03 | $144.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $56.23 | Professional | 26 · Professional part | $39.81 | $45.71 | $56.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $89.13 | Professional | TC · Technical part | $66.07 | $77.62 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $81.28 Typical High $194.98 | Facility | None | $79.43 | $81.28 | $194.98 |
Select Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $79.43 | $102.33 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $85.11 | $117.49 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $44.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $95.50 | Professional | TC · Technical part | $53.70 | $74.13 | $95.50 |
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 $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $43.65 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $17.78 | $22.91 | $23.99 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $112.20 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $89.13 | $112.20 | $131.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $56.23 | $57.54 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.99 |
Where Idaho sits
The same service costs 3.0 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· 11th of 51
$126
AK $204TX $69.18
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.