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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $602.56 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $104.71 | $630.96 | $630.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $1,288.25 Typical High $1,288.25 | Professional | TC · Technical part | $501.19 | $1,288.25 | $1,288.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $602.56 Median $794.33 Typical High $1,479.11 | Facility | None | $602.56 | $794.33 | $1,479.11 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $1,288.25 | Professional | None (both parts) | $323.59 | $380.19 | $1,288.25 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $380.19 Typical High $398.11 | Professional | 26 · Professional part | $323.59 | $380.19 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $954.99 Typical High $1,174.90 | Professional | None (both parts) | $812.83 | $954.99 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $323.59 Typical High $389.05 | Professional | 26 · Professional part | $269.15 | $323.59 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $676.08 Typical High $794.33 | Professional | TC · Technical part | $537.03 | $676.08 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $1,905.46 Typical High $2,754.23 | Facility | None | $181.97 | $1,905.46 | $2,754.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $630.96 | $1,905.46 | $1,905.46 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $363.08 Typical High $630.96 | Professional | 26 · Professional part | $213.80 | $363.08 | $630.96 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $1,288.25 Typical High $1,288.25 | Professional | TC · Technical part | $562.34 | $1,288.25 | $1,288.25 |
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 $954.99 Median $1,258.93 Typical High $1,258.93 | Facility | None | $954.99 | $1,258.93 | $1,258.93 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,479.11 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,148.15 | $1,288.25 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,698.24 | Facility | None | $218.78 | $1,202.26 | $1,698.24 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | 26 · Professional part | $181.97 | $181.97 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $549.54 Median $794.33 Typical High $1,174.90 | Professional | None (both parts) | $549.54 | $794.33 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $234.42 Typical High $389.05 | Professional | 26 · Professional part | $177.83 | $234.42 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $562.34 Typical High $891.25 | Professional | TC · Technical part | $380.19 | $562.34 | $891.25 |
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 $223.87 Median $251.19 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $223.87 | $251.19 | $263.03 |
Where Idaho sits
The same service costs 6.5 times more in Alaska than in New Jersey. 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· 5th of 51
$1,023
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.