How much rates vary
Facilitymedian $372 · 10th to 90th $195 to $708Professionalmedian $240 · 10th to 90th $79 to $288
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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $60.26 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $38.90 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $18.62 | $177.83 | $177.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $213.80 Median $407.38 Typical High $660.69 | Facility | None | $213.80 | $407.38 | $660.69 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $223.87 | $269.15 | $309.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $79.43 | Professional | 26 · Professional part | $66.07 | $77.62 | $79.43 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $213.80 | Professional | TC · Technical part | $158.49 | $190.55 | $213.80 |
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 $125.89 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $125.89 | $181.97 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $69.18 | Professional | 26 · Professional part | $48.98 | $60.26 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $125.89 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $302.00 Typical High $977.24 | Facility | None | $141.25 | $302.00 | $977.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $147.91 | $239.88 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $67.61 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $67.61 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $173.78 Typical High $177.83 | Professional | TC · Technical part | $77.62 | $173.78 | $177.83 |
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 $218.78 Median $288.40 Typical High $288.40 | Facility | None | $218.78 | $288.40 | $288.40 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $213.80 | $288.40 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $489.78 | Facility | None | $245.47 | $380.19 | $489.78 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $323.59 | Professional | None (both parts) | $257.04 | $281.84 | $323.59 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $131.83 Typical High $645.65 | Facility | None | $128.82 | $131.83 | $645.65 |
Select Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $128.82 | $128.82 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $67.61 | $125.89 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $51.29 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $66.07 Typical High $125.89 | Professional | TC · Technical part | $13.18 | $66.07 | $125.89 |
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 $158.49 Median $177.83 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $158.49 | $177.83 | $218.78 |
Where Idaho sits
The same service costs 6.9 times more in Alaska than in Michigan. 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
$257
AK $525MI $75.86
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.