How much rates vary
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 TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | TC · Technical part | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $85.11 Typical High $87.10 | Professional | None (both parts) | $40.74 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $27.54 Typical High $28.18 | Professional | 26 · Professional part | $13.49 | $27.54 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $57.54 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $57.54 | $60.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $45.71 Median $194.98 Typical High $309.03 | Facility | None | $45.71 | $194.98 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $89.13 | Professional | None (both parts) | $67.61 | $79.43 | $89.13 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $28.84 | Professional | 26 · Professional part | $21.38 | $25.12 | $28.84 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $61.66 | Professional | TC · Technical part | $45.71 | $53.70 | $61.66 |
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 $46.77 Median $60.26 Typical High $72.44 | Professional | None (both parts) | $46.77 | $60.26 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $25.12 | Professional | 26 · Professional part | $16.22 | $19.95 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $47.86 | Professional | TC · Technical part | $30.20 | $39.81 | $47.86 |
Hally Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | None | $158.49 | $158.49 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $85.11 Typical High $302.00 | Facility | None | $51.29 | $85.11 | $302.00 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $43.65 | $85.11 | $102.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $26.92 Typical High $29.51 | Professional | 26 · Professional part | $14.45 | $26.92 | $29.51 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $57.54 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $57.54 | $60.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $21.88 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $20.89 Median $45.71 Typical High $85.11 | Facility | None | $20.89 | $45.71 | $85.11 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $20.89 Median $47.86 Typical High $100.00 | Professional | None (both parts) | $20.89 | $47.86 | $100.00 |
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 $69.18 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $69.18 | $87.10 | $102.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $26.92 | $32.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $47.86 | $60.26 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $38.90 Typical High $141.25 | Facility | None | $38.02 | $38.90 | $141.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $54.95 Typical High $75.86 | Professional | None (both parts) | $38.02 | $54.95 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $43.65 Typical High $79.43 | Professional | None (both parts) | $37.15 | $43.65 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $26.30 | Professional | 26 · Professional part | $13.49 | $14.79 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $52.48 | Professional | TC · Technical part | $23.99 | $29.51 | $52.48 |
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 $46.77 Median $54.95 Typical High $67.61 | Professional | 78 · Unplanned return to OR | $46.77 | $54.95 | $67.61 |
Where Idaho sits
The same service costs 4.1 times more in Alaska 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· 5th of 51
$79.43
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.