How much rates vary
Facilitymedian $977 · 10th to 90th $295 to $3,162Professionalmedian $832 · 10th to 90th $617 to $1,175
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 Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $724.44 Typical High $758.58 | Professional | None (both parts) | $512.86 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $120.23 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $562.34 Typical High $616.60 | Professional | TC · Technical part | $389.05 | $562.34 | $616.60 |
BCBS Idaho Setting Facility Modifier None Typical Low $257.04 Median $501.19 Typical High $3,162.28 | Facility | None | $257.04 | $501.19 | $3,162.28 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,047.13 Typical High $1,230.27 | Professional | None (both parts) | $831.76 | $1,047.13 | $1,230.27 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $218.78 Typical High $257.04 | Professional | 26 · Professional part | $173.78 | $218.78 | $257.04 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $831.76 Typical High $977.24 | Professional | TC · Technical part | $660.69 | $831.76 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $851.14 Typical High $891.25 | Professional | None (both parts) | $676.08 | $851.14 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $204.17 | Professional | 26 · Professional part | $158.49 | $181.97 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $645.65 Typical High $691.83 | Professional | TC · Technical part | $512.86 | $645.65 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,047.13 | Facility | None | $724.44 | $724.44 | $1,047.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $724.44 Typical High $1,023.29 | Professional | None (both parts) | $691.83 | $724.44 | $1,023.29 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $204.17 | Professional | 26 · Professional part | $125.89 | $165.96 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $562.34 Typical High $831.76 | Professional | TC · Technical part | $467.74 | $562.34 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $436.52 | Professional | None (both parts) | $33.11 | $33.11 | $436.52 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,047.13 | Facility | None | $933.25 | $1,047.13 | $1,047.13 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,047.13 Typical High $1,071.52 | Professional | None (both parts) | $870.96 | $1,047.13 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,778.28 Median $2,570.40 Typical High $3,388.44 | Facility | None | $1,778.28 | $2,570.40 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $707.95 Median $831.76 Typical High $954.99 | Professional | None (both parts) | $707.95 | $831.76 | $954.99 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $173.78 Typical High $213.80 | Professional | 26 · Professional part | $151.36 | $173.78 | $213.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $660.69 Typical High $741.31 | Professional | TC · Technical part | $562.34 | $660.69 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $562.34 | Facility | None | $549.54 | $549.54 | $562.34 |
Select Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $549.54 | $691.83 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $707.95 Typical High $1,000.00 | Professional | None (both parts) | $537.03 | $707.95 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $234.42 | Professional | 26 · Professional part | $128.82 | $169.82 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $537.03 Typical High $741.31 | Professional | TC · Technical part | $416.87 | $537.03 | $741.31 |
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 $302.00 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $302.00 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $144.54 Typical High $151.36 | Professional | 53 · Discontinued | $120.23 | $144.54 | $151.36 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $758.58 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $602.56 | $758.58 | $891.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $363.08 | $363.08 | $380.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | 53 · Discontinued | $144.54 | $144.54 | $151.36 |
Where Idaho sits
The same service costs 3.1 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
$832
AK $1,259TX $407
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.