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 $575.44 Median $575.44 Typical High $724.44 | Facility | None | $575.44 | $575.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $489.78 Typical High $549.54 | Professional | None (both parts) | $194.98 | $489.78 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $72.44 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $72.44 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $416.87 Typical High $478.63 | Professional | TC · Technical part | $162.18 | $416.87 | $478.63 |
BCBS Idaho Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $478.63 | Facility | None | $199.53 | $323.59 | $478.63 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $436.52 Median $512.86 Typical High $549.54 | Professional | None (both parts) | $436.52 | $512.86 | $549.54 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $61.66 | $72.44 | $75.86 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $446.68 Typical High $478.63 | Professional | TC · Technical part | $380.19 | $446.68 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $354.81 Typical High $426.58 | Facility | None | $173.78 | $354.81 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $457.09 | Professional | None (both parts) | $309.03 | $398.11 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $56.23 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $263.03 | $338.84 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $1,778.28 | Facility | None | $363.08 | $407.38 | $1,778.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $478.63 Typical High $645.65 | Professional | None (both parts) | $295.12 | $478.63 | $645.65 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $72.44 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $407.38 Typical High $478.63 | Professional | TC · Technical part | $251.19 | $407.38 | $478.63 |
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 $426.58 Median $562.34 Typical High $562.34 | Facility | None | $426.58 | $562.34 | $562.34 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $213.80 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $213.80 | $562.34 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $478.63 | Facility | None | $245.47 | $371.54 | $478.63 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $501.19 Median $549.54 Typical High $616.60 | Professional | None (both parts) | $501.19 | $549.54 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $389.05 | Facility | None | $251.19 | $251.19 | $389.05 |
Select Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $251.19 | $251.19 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $234.42 | $338.84 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $46.77 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $457.09 | Professional | TC · Technical part | $190.55 | $295.12 | $457.09 |
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 $309.03 Median $346.74 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $309.03 | $346.74 | $426.58 |
Where Idaho sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 9th of 51
$437
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.