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 $512.86 Median $512.86 Typical High $512.86 | Facility | TC · Technical part | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $186.21 | $478.63 | $478.63 |
BCBS Idaho Setting Facility Modifier None Typical Low $281.84 Median $575.44 Typical High $1,148.15 | Facility | None | $281.84 | $575.44 | $1,148.15 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $467.74 | Professional | None (both parts) | $371.54 | $436.52 | $467.74 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $43.65 | $45.71 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $389.05 Typical High $426.58 | Professional | TC · Technical part | $331.13 | $389.05 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $257.04 | $338.84 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $42.66 | Professional | 26 · Professional part | $30.20 | $38.02 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $354.81 | Professional | TC · Technical part | $229.09 | $295.12 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $478.63 Typical High $676.08 | Facility | None | $102.33 | $478.63 | $676.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $478.63 Typical High $549.54 | Professional | None (both parts) | $295.12 | $478.63 | $549.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $44.67 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $44.67 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $389.05 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $389.05 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $316.23 Median $467.74 Typical High $467.74 | Facility | None | $316.23 | $467.74 | $467.74 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $389.05 | $467.74 | $549.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $467.74 | $467.74 | $549.54 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $213.80 Typical High $1,096.48 | Facility | None | $208.93 | $213.80 | $1,096.48 |
Select Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $208.93 | $208.93 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $177.83 | $234.42 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $26.30 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $346.74 | Professional | TC · Technical part | $151.36 | $208.93 | $346.74 |
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 $257.04 Median $288.40 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $257.04 | $288.40 | $302.00 |
Where Idaho sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$398
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.