How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,348.96 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $269.15 | Professional | 26 · Professional part | $213.80 | $213.80 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,071.52 | Professional | TC · Technical part | $831.76 | $831.76 | $1,071.52 |
BCBS Idaho Setting Facility Modifier None Typical Low $602.56 Median $2,041.74 Typical High $3,235.94 | Facility | None | $602.56 | $2,041.74 | $3,235.94 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $562.34 | Professional | None (both parts) | $269.15 | $323.59 | $562.34 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $389.05 | Professional | 26 · Professional part | $46.77 | $54.95 | $389.05 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $38.90 | $169.82 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,630.27 | Facility | None | $1,258.93 | $1,258.93 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | None (both parts) | $588.84 | $588.84 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,513.56 | Facility | None | $1,071.52 | $1,071.52 | $1,513.56 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,348.96 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,348.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $269.15 | Professional | 26 · Professional part | $213.80 | $213.80 | $269.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,071.52 | Professional | TC · Technical part | $831.76 | $831.76 | $1,071.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $77.62 | Professional | None (both parts) | $30.20 | $30.20 | $77.62 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $87.10 Median $436.52 Typical High $1,548.82 | Professional | None (both parts) | $87.10 | $436.52 | $1,548.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $2,570.40 Typical High $3,235.94 | Facility | None | $602.56 | $2,570.40 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $524.81 Median $562.34 Typical High $645.65 | Professional | None (both parts) | $524.81 | $562.34 | $645.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $389.05 Typical High $446.68 | Professional | 26 · Professional part | $363.08 | $389.05 | $446.68 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $169.82 Typical High $194.98 | Professional | TC · Technical part | $154.88 | $169.82 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $331.13 | Facility | None | $323.59 | $323.59 | $331.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $109.65 | $323.59 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $380.19 | $426.58 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $281.84 Typical High $537.03 | Professional | 26 · Professional part | $87.10 | $281.84 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $128.82 Typical High $389.05 | Professional | TC · Technical part | $114.82 | $128.82 | $389.05 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $213.80 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $190.55 | $213.80 | $223.87 |
Where Idaho sits
The same service costs 4.1 times more in Alaska than in Alabama. 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· 29th of 51
$562
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.