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 $288.40 Median $457.09 Typical High $501.19 | Professional | None (both parts) | $288.40 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $79.43 | $147.91 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $309.03 Typical High $354.81 | Professional | TC · Technical part | $208.93 | $309.03 | $354.81 |
BCBS Idaho Setting Facility Modifier None Typical Low $407.38 Median $831.76 Typical High $2,238.72 | Facility | None | $407.38 | $831.76 | $2,238.72 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $346.74 | $407.38 | $489.78 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $112.20 | $131.83 | $162.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $331.13 | Professional | TC · Technical part | $234.42 | $281.84 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $776.25 | Facility | None | $316.23 | $645.65 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $436.52 | Professional | None (both parts) | $186.21 | $186.21 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $57.54 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $295.12 | Professional | TC · Technical part | $128.82 | $128.82 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,174.90 | Professional | None | $1,071.52 | $1,071.52 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $1,230.27 | Facility | None | $288.40 | $457.09 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $537.03 | Professional | None (both parts) | $354.81 | $457.09 | $537.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $104.71 | $147.91 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $309.03 Typical High $338.84 | Professional | TC · Technical part | $208.93 | $309.03 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $134.90 | Professional | None (both parts) | $33.11 | $33.11 | $134.90 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $446.68 | Facility | None | $109.65 | $109.65 | $446.68 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $109.65 Median $380.19 Typical High $524.81 | Professional | None (both parts) | $109.65 | $380.19 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $660.69 Typical High $870.96 | Facility | None | $446.68 | $660.69 | $870.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $354.81 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $354.81 | $446.68 | $537.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $138.04 | $169.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $363.08 | Professional | TC · Technical part | $245.47 | $309.03 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $204.17 | Facility | None | $199.53 | $199.53 | $204.17 |
Select Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $199.53 | $288.40 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $426.58 Typical High $1,202.26 | Professional | None (both parts) | $213.80 | $426.58 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $295.12 Typical High $1,071.52 | Professional | TC · Technical part | $147.91 | $295.12 | $1,071.52 |
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 $245.47 Median $275.42 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $245.47 | $275.42 | $346.74 |
Where Idaho sits
The same service costs 6.5 times more in Wyoming than in Texas. 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· 11th of 51
$447
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.