How much rates vary
Facilitymedian $295 · 10th to 90th $100 to $479Professionalmedian $155 · 10th to 90th $110 to $214
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 $74.13 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $74.13 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $95.50 Typical High $100.00 | Professional | TC · Technical part | $36.31 | $95.50 | $100.00 |
BCBS Idaho Setting Facility Modifier None Typical Low $91.20 Median $309.03 Typical High $416.87 | Facility | None | $91.20 | $309.03 | $416.87 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $154.88 | $190.55 | $223.87 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $74.13 | Professional | 26 · Professional part | $50.12 | $63.10 | $74.13 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $104.71 | $128.82 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $128.82 | $151.36 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $60.26 | Professional | 26 · Professional part | $44.67 | $54.95 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $85.11 | $97.72 | $112.20 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $144.54 Typical High $204.17 | Facility | None | $56.23 | $144.54 | $204.17 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $120.23 | $144.54 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $37.15 | $47.86 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $95.50 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $66.07 | Professional | None (both parts) | $33.11 | $33.11 | $66.07 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $190.55 | Facility | None | $169.82 | $190.55 | $190.55 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $194.98 | Professional | None (both parts) | $162.18 | $190.55 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $407.38 Typical High $512.86 | Facility | None | $269.15 | $407.38 | $512.86 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $131.83 | $154.88 | $186.21 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $43.65 | $50.12 | $61.66 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $89.13 | $104.71 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $323.59 | Facility | None | $100.00 | $100.00 | $323.59 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $100.00 | $128.82 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $83.18 | $117.49 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $37.15 | $48.98 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $46.77 | $64.57 | $109.65 |
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 $54.95 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $54.95 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $22.39 | $28.84 | $28.84 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $138.04 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $112.20 | $138.04 | $162.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $69.18 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $27.54 | $28.84 | $28.84 |
Where Idaho sits
The same service costs 3.5 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· 11th of 51
$155
AK $229KY $64.57
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.