How much rates vary
Facilitymedian $214 · 10th to 90th $41 to $380Professionalmedian $66 · 10th to 90th $32 to $85
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 $56.23 Median $89.13 Typical High $93.33 | Facility | None | $56.23 | $89.13 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $74.13 Typical High $85.11 | Professional | None (both parts) | $34.67 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $23.44 Typical High $26.92 | Professional | 26 · Professional part | $10.96 | $23.44 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $22.91 | $50.12 | $57.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $79.43 Median $223.87 Typical High $380.19 | Facility | None | $79.43 | $223.87 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $77.62 | Professional | None (both parts) | $58.88 | $69.18 | $77.62 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $23.44 | Professional | 26 · Professional part | $17.78 | $21.38 | $23.44 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $53.70 | Professional | TC · Technical part | $40.74 | $47.86 | $53.70 |
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 $40.74 Median $52.48 Typical High $63.10 | Professional | None (both parts) | $40.74 | $52.48 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $20.89 | Professional | 26 · Professional part | $13.18 | $16.98 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $42.66 | Professional | TC · Technical part | $26.92 | $35.48 | $42.66 |
Hally Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $134.90 | Professional | None | $89.13 | $89.13 | $134.90 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $245.47 Typical High $380.19 | Facility | None | $74.13 | $245.47 | $380.19 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $316.23 Typical High $380.19 | Facility | TC · Technical part | $57.54 | $316.23 | $380.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $74.13 Typical High $89.13 | Professional | None (both parts) | $36.31 | $74.13 | $89.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $23.44 Typical High $34.67 | Professional | 26 · Professional part | $12.02 | $23.44 | $34.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $23.99 | $50.12 | $57.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $19.50 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $18.20 Median $40.74 Typical High $75.86 | Facility | None | $18.20 | $40.74 | $75.86 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $18.20 Median $41.69 Typical High $89.13 | Professional | None (both parts) | $18.20 | $41.69 | $89.13 |
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 $61.66 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $61.66 | $75.86 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.88 Typical High $27.54 | Professional | 26 · Professional part | $18.20 | $21.88 | $27.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $61.66 | Professional | TC · Technical part | $43.65 | $53.70 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $33.88 Typical High $173.78 | Facility | None | $33.11 | $33.88 | $173.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $66.07 | Professional | None (both parts) | $33.11 | $48.98 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $32.36 | $38.02 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $22.39 | Professional | 26 · Professional part | $11.22 | $12.59 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $46.77 | Professional | TC · Technical part | $20.89 | $25.70 | $46.77 |
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 $40.74 Median $47.86 Typical High $58.88 | Professional | 78 · Unplanned return to OR | $40.74 | $47.86 | $58.88 |
Where Idaho sits
The same service costs 4.3 times more in Minnesota than in New York. 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· 8th of 51
$69.18
MN $115NY $26.92
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.