How much rates vary
Facilitymedian $1,349 · 10th to 90th $282 to $3,236Professionalmedian $1,047 · 10th to 90th $776 to $1,549
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 $645.65 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $645.65 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $251.19 | $309.03 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $524.81 Typical High $537.03 | Professional | TC · Technical part | $436.52 | $524.81 | $537.03 |
BCBS Idaho Setting Facility Modifier None Typical Low $229.09 Median $1,659.59 Typical High $3,388.44 | Facility | None | $229.09 | $1,659.59 | $3,388.44 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,380.38 Typical High $1,621.81 | Professional | None (both parts) | $1,047.13 | $1,380.38 | $1,621.81 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $416.87 Typical High $489.78 | Professional | 26 · Professional part | $331.13 | $416.87 | $489.78 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $954.99 Typical High $1,122.02 | Professional | TC · Technical part | $724.44 | $954.99 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $933.25 Typical High $1,000.00 | Professional | None (both parts) | $741.31 | $933.25 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $354.81 Typical High $389.05 | Professional | 26 · Professional part | $288.40 | $354.81 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $575.44 Typical High $616.60 | Professional | TC · Technical part | $457.09 | $575.44 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $831.76 Typical High $1,202.26 | Facility | None | $346.74 | $831.76 | $1,202.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $831.76 Typical High $1,348.96 | Professional | None (both parts) | $812.83 | $831.76 | $1,348.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $309.03 Typical High $398.11 | Professional | 26 · Professional part | $281.84 | $309.03 | $398.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $933.25 | Professional | TC · Technical part | $524.81 | $524.81 | $933.25 |
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 $1,202.26 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,202.26 | $1,348.96 | $1,348.96 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,348.96 Typical High $1,380.38 | Professional | None (both parts) | $1,096.48 | $1,348.96 | $1,380.38 |
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 $891.25 Median $1,047.13 Typical High $1,174.90 | Professional | None (both parts) | $891.25 | $1,047.13 | $1,174.90 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $331.13 Typical High $407.38 | Professional | 26 · Professional part | $281.84 | $331.13 | $407.38 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $724.44 Typical High $776.25 | Professional | TC · Technical part | $616.60 | $724.44 | $776.25 |
Select Health Setting Facility Modifier None Typical Low $630.96 Median $707.95 Typical High $758.58 | Facility | None | $630.96 | $707.95 | $758.58 |
Select Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $891.25 Typical High $1,258.93 | Professional | None (both parts) | $707.95 | $891.25 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $588.84 Median $794.33 Typical High $1,096.48 | Professional | None (both parts) | $588.84 | $794.33 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $323.59 Typical High $436.52 | Professional | 26 · Professional part | $239.88 | $323.59 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $467.74 Typical High $676.08 | Professional | TC · Technical part | $363.08 | $467.74 | $676.08 |
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 $389.05 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $389.05 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $154.88 | $165.96 | $165.96 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,000.00 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $758.58 | $1,000.00 | $1,174.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $389.05 | $416.87 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $158.49 | $165.96 | $165.96 |
Where Idaho sits
The same service costs 3.2 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
$1,047
AK $1,445KY $447
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.