How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,318 to $4,571Professionalmedian $1,349 · 10th to 90th $389 to $1,862
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 $1,202.26 Median $1,348.96 Typical High $1,445.44 | Professional | None (both parts) | $1,202.26 | $1,348.96 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $245.47 | $295.12 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,047.13 Typical High $1,174.90 | Professional | TC · Technical part | $954.99 | $1,047.13 | $1,174.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,047.13 Median $2,754.23 Typical High $4,570.88 | Facility | None | $1,047.13 | $2,754.23 | $4,570.88 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $1,445.44 | Professional | None (both parts) | $380.19 | $457.09 | $1,445.44 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $389.05 Typical High $457.09 | Professional | 26 · Professional part | $288.40 | $389.05 | $457.09 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,148.15 Typical High $1,148.15 | Professional | TC · Technical part | $1,122.02 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,584.89 Typical High $1,698.24 | Professional | None (both parts) | $1,288.25 | $1,584.89 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $323.59 Typical High $363.08 | Professional | 26 · Professional part | $275.42 | $323.59 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,258.93 Typical High $1,348.96 | Professional | TC · Technical part | $1,000.00 | $1,258.93 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,949.84 | Facility | None | $1,318.26 | $1,348.96 | $1,949.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,445.44 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,445.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $295.12 Typical High $371.54 | Professional | 26 · Professional part | $269.15 | $295.12 | $371.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,174.90 |
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 $1,621.81 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,621.81 | $1,862.09 | $1,862.09 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $1,862.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $3,388.44 | Facility | None | $1,778.28 | $2,630.27 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,445.44 Typical High $1,621.81 | Professional | None (both parts) | $1,230.27 | $1,445.44 | $1,621.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $288.40 Typical High $380.19 | Professional | 26 · Professional part | $251.19 | $288.40 | $380.19 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,148.15 Typical High $1,288.25 | Professional | TC · Technical part | $977.24 | $1,148.15 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $1,905.46 Median $3,235.94 Typical High $4,570.88 | Facility | None | $1,905.46 | $3,235.94 | $4,570.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $5,011.87 Typical High $8,511.38 | Professional | None (both parts) | $4,265.80 | $5,011.87 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,862.09 Typical High $3,019.95 | Professional | None (both parts) | $1,071.52 | $1,862.09 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $302.00 Typical High $398.11 | Professional | 26 · Professional part | $223.87 | $302.00 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,621.81 Typical High $2,691.53 | Professional | TC · Technical part | $1,023.29 | $1,621.81 | $2,691.53 |
9 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 $588.84 Median $676.08 Typical High $724.44 | Professional | 52 · Reduced service | $588.84 | $676.08 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $269.15 Typical High $288.40 | Professional | 53 · Discontinued | $239.88 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $204.17 Typical High $218.78 | Professional | 55 · Aftercare only | $177.83 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $134.90 Typical High $144.54 | Professional | 56 · Pre-op care only | $120.23 | $134.90 | $144.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $309.03 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $269.15 | $309.03 | $331.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $676.08 Typical High $724.44 | Professional | 52 · Reduced service | $676.08 | $676.08 | $724.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | 53 · Discontinued | $269.15 | $269.15 | $288.40 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $218.78 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $218.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $144.54 |
Where Idaho sits
The same service costs 11.2 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· 16th of 51
$1,413
AK $3,020KY $269
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.