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 $144.54 Median $144.54 Typical High $181.97 | Facility | None | $144.54 | $144.54 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $120.23 Typical High $138.04 | Professional | None (both parts) | $69.18 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $61.66 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $57.54 Typical High $66.07 | Professional | TC · Technical part | $35.48 | $57.54 | $66.07 |
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 $109.65 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $109.65 | $128.82 | $181.97 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $66.07 | Professional | 26 · Professional part | $54.95 | $64.57 | $66.07 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $77.62 | Professional | TC · Technical part | $56.23 | $66.07 | $77.62 |
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 $83.18 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $83.18 | $97.72 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $40.74 | $47.86 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $57.54 | Professional | TC · Technical part | $40.74 | $51.29 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $645.65 Typical High $724.44 | Facility | None | $120.23 | $645.65 | $724.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $69.18 | $120.23 | $158.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $33.88 | $61.66 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $69.18 | Professional | TC · Technical part | $37.15 | $57.54 | $69.18 |
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 $107.15 Median $141.25 Typical High $141.25 | Facility | None | $107.15 | $141.25 | $141.25 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $141.25 | $141.25 | $173.78 |
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 $123.03 Median $134.90 Typical High $147.91 | Professional | None (both parts) | $123.03 | $134.90 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $63.10 Median $64.57 Typical High $389.05 | Facility | None | $63.10 | $64.57 | $389.05 |
Select Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $109.65 | Professional | None (both parts) | $63.10 | $63.10 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $70.79 | $85.11 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $40.74 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $74.13 | Professional | TC · Technical part | $36.31 | $46.77 | $74.13 |
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 $77.62 Median $87.10 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $77.62 | $87.10 | $107.15 |
Where Idaho sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 6th of 51
$135
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.