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 None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $501.19 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $173.78 | $407.38 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $323.59 | $645.65 | $645.65 |
BCBS Idaho Setting Facility Modifier None Typical Low $354.81 Median $676.08 Typical High $831.76 | Facility | None | $354.81 | $676.08 | $831.76 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $467.74 Median $549.54 Typical High $1,023.29 | Professional | None (both parts) | $467.74 | $549.54 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $346.74 Typical High $371.54 | Professional | 26 · Professional part | $295.12 | $346.74 | $371.54 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $371.54 Typical High $660.69 | Professional | TC · Technical part | $316.23 | $371.54 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $741.31 Typical High $912.01 | Professional | None (both parts) | $630.96 | $741.31 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $281.84 Typical High $346.74 | Professional | 26 · Professional part | $239.88 | $281.84 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $478.63 Typical High $562.34 | Professional | TC · Technical part | $380.19 | $478.63 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $1,047.13 Typical High $1,258.93 | Facility | None | $169.82 | $1,047.13 | $1,258.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $602.56 | $1,047.13 | $1,047.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $354.81 Typical High $407.38 | Professional | 26 · Professional part | $204.17 | $354.81 | $407.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $398.11 | $645.65 | $645.65 |
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 $776.25 Median $1,023.29 Typical High $1,023.29 | Facility | None | $776.25 | $1,023.29 | $1,023.29 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,202.26 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $891.25 | $1,023.29 | $1,023.29 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $549.54 Typical High $549.54 | Facility | None | $316.23 | $549.54 | $549.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $630.96 Typical High $1,122.02 | Professional | None (both parts) | $501.19 | $630.96 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $204.17 Typical High $371.54 | Professional | 26 · Professional part | $165.96 | $204.17 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $426.58 Typical High $758.58 | Professional | TC · Technical part | $331.13 | $426.58 | $758.58 |
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 $323.59 Median $363.08 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $323.59 | $363.08 | $380.19 |
Where Idaho sits
The same service costs 5.6 times more in Alaska than in Alabama. 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· 12th of 51
$724
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.