How much rates vary
Facilitymedian $186 · 10th to 90th $40 to $309Professionalmedian $59 · 10th to 90th $30 to $81
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 $48.98 Median $79.43 Typical High $85.11 | Facility | None | $48.98 | $79.43 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $67.61 Typical High $77.62 | Professional | None (both parts) | $31.62 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $10.23 | $22.39 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $20.42 | $45.71 | $51.29 |
BCBS Idaho Setting Facility Modifier None Typical Low $67.61 Median $199.53 Typical High $309.03 | Facility | None | $67.61 | $199.53 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $70.79 | Professional | None (both parts) | $53.70 | $63.10 | $70.79 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $22.91 | Professional | 26 · Professional part | $16.98 | $19.95 | $22.91 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $48.98 | Professional | TC · Technical part | $37.15 | $43.65 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $501.19 | Facility | None | $109.65 | $275.42 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $47.86 Typical High $57.54 | Professional | None (both parts) | $36.31 | $47.86 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $19.50 | Professional | 26 · Professional part | $12.59 | $15.85 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $38.02 | Professional | TC · Technical part | $24.55 | $31.62 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $218.78 | Professional | None | $102.33 | $102.33 | $218.78 |
Moda Health Setting Facility Modifier None Typical Low $67.61 Median $251.19 Typical High $363.08 | Facility | None | $67.61 | $251.19 | $363.08 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $263.03 Typical High $354.81 | Facility | TC · Technical part | $54.95 | $263.03 | $354.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $33.11 | $67.61 | $128.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $22.39 Typical High $43.65 | Professional | 26 · Professional part | $10.00 | $22.39 | $43.65 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $21.38 | $45.71 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $17.78 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $17.38 Median $37.15 Typical High $69.18 | Facility | None | $17.38 | $37.15 | $69.18 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $17.38 Median $38.02 Typical High $81.28 | Professional | None (both parts) | $17.38 | $38.02 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $316.23 | Facility | None | $158.49 | $234.42 | $316.23 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $56.23 | $69.18 | $81.28 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $26.30 | Professional | 26 · Professional part | $17.38 | $21.38 | $26.30 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $54.95 | Professional | TC · Technical part | $38.90 | $47.86 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $31.62 Typical High $128.82 | Facility | None | $30.90 | $31.62 | $128.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $30.90 | $44.67 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $29.51 | $34.67 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.75 Typical High $20.89 | Professional | 26 · Professional part | $10.47 | $11.75 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $22.91 | $41.69 |
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 $38.02 Median $44.67 Typical High $53.70 | Professional | 78 · Unplanned return to OR | $38.02 | $44.67 | $53.70 |
Where Idaho sits
The same service costs 17.0 times more in Vermont than in Florida. 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· 9th of 51
$63.10
VT $447FL $26.30
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.