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 $575.44 Median $575.44 Typical High $575.44 | Facility | TC · Technical part | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $208.93 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $162.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $123.03 | $436.52 | $436.52 |
BCBS Idaho Setting Facility Modifier None Typical Low $223.87 Median $436.52 Typical High $660.69 | Facility | None | $223.87 | $436.52 | $660.69 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $281.84 | $331.13 | $457.09 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $147.91 Typical High $154.88 | Professional | 26 · Professional part | $125.89 | $147.91 | $154.88 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $302.00 | Professional | TC · Technical part | $154.88 | $181.97 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $602.56 Typical High $1,000.00 | Facility | None | $245.47 | $602.56 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $346.74 | $436.52 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $112.20 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $407.38 | Professional | TC · Technical part | $257.04 | $323.59 | $407.38 |
Hally Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,380.38 | $1,380.38 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $602.56 Typical High $870.96 | Facility | None | $380.19 | $602.56 | $870.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $602.56 Typical High $616.60 | Professional | None (both parts) | $281.84 | $602.56 | $616.60 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $147.91 Typical High $162.18 | Professional | 26 · Professional part | $87.10 | $147.91 | $162.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $281.84 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $33.11 | $33.11 | $70.79 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $186.21 Median $363.08 Typical High $363.08 | Facility | None | $186.21 | $363.08 | $363.08 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | None (both parts) | $363.08 | $363.08 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $501.19 Typical High $660.69 | Facility | None | $346.74 | $501.19 | $660.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $416.87 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $416.87 | $457.09 | $616.60 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $154.88 Typical High $190.55 | Professional | 26 · Professional part | $134.90 | $154.88 | $190.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $302.00 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $165.96 | Facility | None | $162.18 | $162.18 | $165.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $162.18 | $234.42 | $371.54 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $104.71 | $141.25 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $89.13 | $128.82 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $309.03 | $346.74 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $87.10 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $234.42 | $263.03 | $467.74 |
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 $194.98 Median $229.09 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $194.98 | $229.09 | $269.15 |
Where Idaho sits
The same service costs 7.4 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· 7th of 51
$417
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.