How much rates vary
Facilitymedian $224 · 10th to 90th $48 to $380Professionalmedian $79 · 10th to 90th $33 to $98
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $43.65 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $15.49 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $26.92 | $61.66 | $61.66 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $239.88 Typical High $380.19 | Facility | None | $48.98 | $239.88 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $74.13 | $87.10 | $97.72 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $31.62 | Professional | 26 · Professional part | $24.55 | $28.84 | $31.62 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $66.07 | Professional | TC · Technical part | $48.98 | $57.54 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $371.54 Typical High $602.56 | Facility | None | $147.91 | $371.54 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $79.43 | Professional | None (both parts) | $50.12 | $64.57 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $29.51 | Professional | 26 · Professional part | $17.78 | $22.91 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $41.69 Typical High $50.12 | Professional | TC · Technical part | $32.36 | $41.69 | $50.12 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | None | $169.82 | $169.82 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $93.33 Typical High $134.90 | Facility | None | $54.95 | $93.33 | $134.90 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $93.33 Typical High $112.20 | Professional | None (both parts) | $44.67 | $93.33 | $112.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $29.51 Typical High $31.62 | Professional | 26 · Professional part | $15.85 | $29.51 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $60.26 Typical High $61.66 | Professional | TC · Technical part | $28.18 | $60.26 | $61.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $23.44 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $24.55 Median $48.98 Typical High $93.33 | Facility | None | $24.55 | $48.98 | $93.33 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $24.55 Median $52.48 Typical High $109.65 | Professional | None (both parts) | $24.55 | $52.48 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $398.11 | Facility | None | $213.80 | $302.00 | $398.11 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $112.20 | Professional | None (both parts) | $75.86 | $93.33 | $112.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $29.51 | $37.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $74.13 | Professional | TC · Technical part | $51.29 | $64.57 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $42.66 Typical High $181.97 | Facility | None | $41.69 | $42.66 | $181.97 |
Select Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $81.28 | Professional | None (both parts) | $41.69 | $60.26 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $85.11 | Professional | None (both parts) | $39.81 | $47.86 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.38 Typical High $31.62 | Professional | 26 · Professional part | $15.49 | $17.38 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $24.55 | $30.20 | $54.95 |
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 $51.29 Median $60.26 Typical High $72.44 | Professional | 78 · Unplanned return to OR | $51.29 | $60.26 | $72.44 |
Where Idaho sits
The same service costs 3.9 times more in Alaska than in Utah. 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· 6th of 51
$87.10
AK $129UT $33.11
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.