How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,047 to $4,571Professionalmedian $1,175 · 10th to 90th $339 to $1,622
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 $1,023.29 Median $1,174.90 Typical High $1,258.93 | Professional | None (both parts) | $1,023.29 | $1,174.90 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $208.93 | $257.04 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $933.25 Typical High $1,023.29 | Professional | TC · Technical part | $812.83 | $933.25 | $1,023.29 |
BCBS Idaho Setting Facility Modifier None Typical Low $741.31 Median $3,467.37 Typical High $4,570.88 | Facility | None | $741.31 | $3,467.37 | $4,570.88 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $1,258.93 | Professional | None (both parts) | $331.13 | $398.11 | $1,258.93 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $338.84 Typical High $398.11 | Professional | 26 · Professional part | $251.19 | $338.84 | $398.11 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $977.24 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,348.96 Typical High $1,479.11 | Professional | None (both parts) | $1,122.02 | $1,348.96 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $281.84 Typical High $316.23 | Professional | 26 · Professional part | $239.88 | $281.84 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,071.52 Typical High $1,174.90 | Professional | TC · Technical part | $891.25 | $1,071.52 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,698.24 | Facility | None | $1,096.48 | $1,174.90 | $1,698.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,258.93 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $257.04 Typical High $323.59 | Professional | 26 · Professional part | $239.88 | $257.04 | $323.59 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Professional | TC · Technical part | $933.25 | $933.25 | $1,023.29 |
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 $1,445.44 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,621.81 | $1,621.81 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,659.59 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,258.93 Typical High $1,412.54 | Professional | None (both parts) | $1,071.52 | $1,258.93 | $1,412.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $251.19 Typical High $331.13 | Professional | 26 · Professional part | $218.78 | $251.19 | $331.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,000.00 Typical High $1,148.15 | Professional | TC · Technical part | $851.14 | $1,000.00 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $2,818.38 Median $3,235.94 Typical High $4,570.88 | Facility | None | $2,818.38 | $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 $549.54 Median $1,000.00 Typical High $1,698.24 | Professional | None (both parts) | $549.54 | $1,000.00 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $263.03 Typical High $346.74 | Professional | 26 · Professional part | $194.98 | $263.03 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $812.83 Typical High $1,348.96 | Professional | TC · Technical part | $426.58 | $812.83 | $1,348.96 |
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 $512.86 Median $588.84 Typical High $630.96 | Professional | 52 · Reduced service | $512.86 | $588.84 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $234.42 Typical High $251.19 | Professional | 53 · Discontinued | $204.17 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $177.83 Typical High $190.55 | Professional | 55 · Aftercare only | $154.88 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $117.49 Typical High $125.89 | Professional | 56 · Pre-op care only | $102.33 | $117.49 | $125.89 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $269.15 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $234.42 | $269.15 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $630.96 | Professional | 52 · Reduced service | $588.84 | $588.84 | $630.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $251.19 | Professional | 53 · Discontinued | $234.42 | $234.42 | $251.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $190.55 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $190.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $125.89 |
Where Idaho sits
The same service costs 9.1 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· 15th of 51
$1,175
AK $2,188KY $240
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.