How much rates vary
Facilitymedian $1,349 · 10th to 90th $302 to $2,089Professionalmedian $257 · 10th to 90th $162 to $363
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 $147.91 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $147.91 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $194.98 Typical High $204.17 | Professional | 26 · Professional part | $104.71 | $194.98 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $51.29 Typical High $102.33 | Professional | TC · Technical part | $34.67 | $51.29 | $102.33 |
BCBS Idaho Setting Facility Modifier None Typical Low $794.33 Median $1,348.96 Typical High $2,137.96 | Facility | None | $794.33 | $1,348.96 | $2,137.96 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $239.88 | $288.40 | $398.11 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $208.93 Typical High $218.78 | Professional | 26 · Professional part | $177.83 | $208.93 | $218.78 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $63.10 | $74.13 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,548.82 Typical High $1,819.70 | Facility | None | $741.31 | $1,548.82 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $169.82 | $213.80 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $158.49 Typical High $186.21 | Professional | 26 · Professional part | $134.90 | $158.49 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $87.10 | Professional | TC · Technical part | $32.36 | $38.90 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $645.65 Typical High $1,698.24 | Facility | None | $257.04 | $645.65 | $1,698.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $154.88 | $257.04 | $457.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $204.17 Typical High $251.19 | Professional | 26 · Professional part | $107.15 | $204.17 | $251.19 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $97.72 | Professional | TC · Technical part | $39.81 | $61.66 | $97.72 |
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 $234.42 Median $309.03 Typical High $309.03 | Facility | None | $234.42 | $309.03 | $309.03 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $309.03 | $309.03 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $2,041.74 | Facility | None | $1,047.13 | $1,621.81 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $263.03 Median $295.12 Typical High $309.03 | Professional | None (both parts) | $263.03 | $295.12 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $2,089.30 | Facility | None | $138.04 | $141.25 | $2,089.30 |
Select Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $138.04 | $138.04 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $144.54 | $218.78 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $138.04 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $66.07 Typical High $131.83 | Professional | TC · Technical part | $27.54 | $66.07 | $131.83 |
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 $169.82 Median $190.55 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $169.82 | $190.55 | $239.88 |
Where Idaho sits
The same service costs 5.1 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· 7th of 51
$295
AK $575FL $112
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.