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 TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | TC · Technical part | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $363.08 | $831.76 | $831.76 |
BCBS Idaho Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $1,288.25 | Facility | None | $501.19 | $851.14 | $1,288.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $758.58 Median $891.25 Typical High $933.25 | Professional | None (both parts) | $758.58 | $891.25 | $933.25 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $302.00 Typical High $309.03 | Professional | 26 · Professional part | $257.04 | $302.00 | $309.03 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $588.84 Typical High $630.96 | Professional | TC · Technical part | $501.19 | $588.84 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $1,148.15 | Facility | None | $467.74 | $954.99 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $707.95 | Professional | None (both parts) | $478.63 | $616.60 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $223.87 Typical High $269.15 | Professional | 26 · Professional part | $186.21 | $223.87 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $457.09 | Professional | TC · Technical part | $302.00 | $389.05 | $457.09 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $831.76 Typical High $1,174.90 | Facility | None | $457.09 | $831.76 | $1,174.90 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $831.76 Typical High $1,096.48 | Professional | None (both parts) | $575.44 | $831.76 | $1,096.48 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $263.03 Typical High $288.40 | Professional | 26 · Professional part | $162.18 | $263.03 | $288.40 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $537.03 Typical High $549.54 | Professional | TC · Technical part | $323.59 | $537.03 | $549.54 |
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 $741.31 Median $977.24 Typical High $977.24 | Facility | None | $741.31 | $977.24 | $977.24 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $602.56 Median $977.24 Typical High $1,148.15 | Professional | None (both parts) | $602.56 | $977.24 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,288.25 | Facility | None | $660.69 | $1,023.29 | $1,288.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $851.14 Median $933.25 Typical High $1,047.13 | Professional | None (both parts) | $851.14 | $933.25 | $1,047.13 |
Select Health Setting Facility Modifier None Typical Low $426.58 Median $436.52 Typical High $912.01 | Facility | None | $426.58 | $436.52 | $912.01 |
Select Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $426.58 | $426.58 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $501.19 Typical High $794.33 | Professional | None (both parts) | $416.87 | $501.19 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $190.55 Typical High $295.12 | Professional | 26 · Professional part | $165.96 | $190.55 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $288.40 Typical High $457.09 | Professional | TC · Technical part | $239.88 | $288.40 | $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 $537.03 Median $588.84 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $537.03 | $588.84 | $741.31 |
Where Idaho sits
The same service costs 5.9 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· 6th of 51
$832
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.