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 $169.82 Median $169.82 Typical High $169.82 | Facility | TC · Technical part | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $95.50 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $128.82 | $128.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $295.12 Typical High $398.11 | Facility | None | $173.78 | $295.12 | $398.11 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $190.55 | Professional | None (both parts) | $151.36 | $177.83 | $190.55 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $57.54 | Professional | 26 · Professional part | $46.77 | $54.95 | $57.54 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $134.90 | Professional | TC · Technical part | $104.71 | $123.03 | $134.90 |
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 $109.65 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $109.65 | $138.04 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $41.69 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $114.82 | Professional | TC · Technical part | $75.86 | $95.50 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $489.78 | Professional | None | $436.52 | $436.52 | $489.78 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $269.15 | Facility | None | $120.23 | $190.55 | $269.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $120.23 | $190.55 | $223.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $53.70 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $53.70 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $128.82 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | None (both parts) | $33.11 | $33.11 | $41.69 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $194.98 | Facility | None | $45.71 | $45.71 | $194.98 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $45.71 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $45.71 | $162.18 | $229.09 |
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 $162.18 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $162.18 | $190.55 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $50.12 | $57.54 | $70.79 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $114.82 | $134.90 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Facility | None | $85.11 | $85.11 | $87.10 |
Select Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $85.11 | $125.89 | $165.96 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $38.90 | $52.48 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $114.82 | Professional | TC · Technical part | $58.88 | $85.11 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $93.33 | $102.33 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $70.79 | $125.89 |
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 $104.71 Median $117.49 Typical High $123.03 | Professional | 78 · Unplanned return to OR | $104.71 | $117.49 | $123.03 |
Where Idaho sits
The same service costs 3.9 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
$170
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.