How much rates vary
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 TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | TC · Technical part | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $234.42 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $186.21 | $309.03 | $309.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $173.78 | $204.17 | $295.12 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $81.28 | Professional | 26 · Professional part | $66.07 | $77.62 | $81.28 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $109.65 | $128.82 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $371.54 | Professional | None (both parts) | $234.42 | $295.12 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $60.26 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $295.12 | Professional | TC · Technical part | $186.21 | $234.42 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Professional | None | $954.99 | $954.99 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $398.11 Typical High $575.44 | Facility | None | $263.03 | $398.11 | $575.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $177.83 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $199.53 | $309.03 | $309.03 |
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 $169.82 Median $223.87 Typical High $223.87 | Facility | None | $169.82 | $223.87 | $223.87 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $223.87 | $223.87 | $263.03 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $263.03 Median $295.12 Typical High $398.11 | Professional | None (both parts) | $263.03 | $295.12 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $100.00 | Professional | 26 · Professional part | $70.79 | $81.28 | $100.00 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $190.55 | $213.80 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $102.33 | Facility | None | $100.00 | $100.00 | $102.33 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $100.00 | $144.54 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $426.58 | Professional | None (both parts) | $213.80 | $239.88 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $46.77 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $169.82 | $190.55 | $338.84 |
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 $123.03 Median $144.54 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $123.03 | $144.54 | $173.78 |
Where Idaho sits
The same service costs 6.8 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· 10th of 51
$263
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.