How much rates vary
Facilitymedian $214 · 10th to 90th $47 to $389Professionalmedian $76 · 10th to 90th $33 to $91
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 $58.88 Median $66.07 Typical High $91.20 | Facility | None | $58.88 | $66.07 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $40.74 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $13.18 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $26.92 | $60.26 | $60.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $85.11 Median $213.80 Typical High $380.19 | Facility | None | $85.11 | $213.80 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $91.20 | Professional | None (both parts) | $69.18 | $81.28 | $91.20 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $28.18 | Professional | 26 · Professional part | $20.89 | $24.55 | $28.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $63.10 | Professional | TC · Technical part | $47.86 | $56.23 | $63.10 |
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 $46.77 Median $61.66 Typical High $74.13 | Professional | None (both parts) | $46.77 | $61.66 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.95 Typical High $24.55 | Professional | 26 · Professional part | $15.49 | $19.95 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $50.12 | Professional | TC · Technical part | $31.62 | $40.74 | $50.12 |
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 $58.88 Median $104.71 Typical High $416.87 | Facility | None | $58.88 | $104.71 | $416.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $41.69 | $87.10 | $102.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $13.80 | $25.12 | $30.90 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $58.88 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $58.88 | $60.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $22.91 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $21.38 Median $47.86 Typical High $87.10 | Facility | None | $21.38 | $47.86 | $87.10 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $21.38 Median $48.98 Typical High $102.33 | Professional | None (both parts) | $21.38 | $48.98 | $102.33 |
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 $70.79 Median $89.13 Typical High $102.33 | Professional | None (both parts) | $70.79 | $89.13 | $102.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $20.89 | $26.30 | $32.36 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $70.79 | Professional | TC · Technical part | $50.12 | $61.66 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $39.81 Typical High $144.54 | Facility | None | $38.90 | $39.81 | $144.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $56.23 Typical High $75.86 | Professional | None (both parts) | $38.90 | $56.23 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $37.15 | $44.67 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $25.70 | Professional | 26 · Professional part | $13.18 | $14.45 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $23.99 | $30.20 | $53.70 |
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 $47.86 Median $56.23 Typical High $67.61 | Professional | 78 · Unplanned return to OR | $47.86 | $56.23 | $67.61 |
Where Idaho sits
The same service costs 4.1 times more in Alaska 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· 6th of 51
$81.28
AK $126NY $30.90
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.