How much rates vary
Facilitymedian $275 · 10th to 90th $78 to $457Professionalmedian $123 · 10th to 90th $62 to $263
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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $58.88 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $25.12 | $50.12 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $39.81 | $181.97 | $181.97 |
BCBS Idaho Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $426.58 | Facility | None | $194.98 | $288.40 | $426.58 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $263.03 | Professional | None (both parts) | $61.66 | $72.44 | $263.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $74.13 | Professional | 26 · Professional part | $53.70 | $66.07 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $275.42 Typical High $281.84 | Facility | None | $134.90 | $275.42 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $112.20 | $154.88 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $39.81 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $120.23 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $275.42 Typical High $524.81 | Facility | None | $181.97 | $275.42 | $524.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $60.26 | $123.03 | $229.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $50.12 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $77.62 | Facility | None | $58.88 | $77.62 | $77.62 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $77.62 | $77.62 | $91.20 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $229.09 | $263.03 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $34.67 Median $35.48 Typical High $281.84 | Facility | None | $34.67 | $35.48 | $281.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $48.98 | Professional | None (both parts) | $34.67 | $34.67 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $75.86 | $104.71 | $154.88 |
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 $42.66 Median $47.86 Typical High $51.29 | Professional | 78 · Unplanned return to OR | $42.66 | $47.86 | $51.29 |
Where Idaho sits
The same service costs 7.1 times more in Alaska than in Hawaii. 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· 12th of 51
$155
AK $389HI $54.95
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.