How much rates vary
Facilitymedian $166 · 10th to 90th $76 to $575Professionalmedian $148 · 10th to 90th $81 to $178
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $85.11 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $50.12 | $102.33 | $102.33 |
BCBS Idaho Setting Facility Modifier None Typical Low $75.86 Median $208.93 Typical High $707.95 | Facility | None | $75.86 | $208.93 | $707.95 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $128.82 | $151.36 | $177.83 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $53.70 | $63.10 | $72.44 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $75.86 | $89.13 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $93.33 | $123.03 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $50.12 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $85.11 | Professional | TC · Technical part | $54.95 | $70.79 | $85.11 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | None | $323.59 | $323.59 | $363.08 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $204.17 Typical High $575.44 | Facility | None | $102.33 | $204.17 | $575.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $89.13 | $173.78 | $204.17 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $67.61 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $95.50 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $95.50 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | None (both parts) | $33.11 | $33.11 | $36.31 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $165.96 | Facility | None | $75.86 | $165.96 | $165.96 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $128.82 | $165.96 | $194.98 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $134.90 | $169.82 | $204.17 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $67.61 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $120.23 | Professional | TC · Technical part | $81.28 | $102.33 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $575.44 | Facility | None | $74.13 | $74.13 | $575.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $74.13 | $107.15 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $79.43 | $89.13 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $38.02 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $45.71 | $50.12 | $91.20 |
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 $91.20 Median $107.15 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $91.20 | $107.15 | $131.83 |
Where Idaho sits
The same service costs 3.8 times more in Alaska than in Texas. 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
$151
AK $240TX $63.10
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.