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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | TC · Technical part | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $707.95 | $1,174.90 | $1,174.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $724.44 Median $1,318.26 Typical High $2,089.30 | Facility | None | $724.44 | $1,318.26 | $2,089.30 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $1,380.38 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $1,380.38 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $162.18 Typical High $169.82 | Professional | 26 · Professional part | $138.04 | $162.18 | $169.82 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,148.15 Typical High $1,230.27 | Professional | TC · Technical part | $977.24 | $1,148.15 | $1,230.27 |
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 $707.95 Median $912.01 Typical High $1,071.52 | Professional | None (both parts) | $707.95 | $912.01 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $141.25 | Professional | 26 · Professional part | $104.71 | $120.23 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $794.33 Typical High $933.25 | Professional | TC · Technical part | $616.60 | $794.33 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $1,174.90 Typical High $1,698.24 | Facility | None | $223.87 | $1,174.90 | $1,698.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,202.26 Typical High $1,513.56 | Professional | None (both parts) | $707.95 | $1,202.26 | $1,513.56 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $151.36 Typical High $154.88 | Professional | 26 · Professional part | $144.54 | $151.36 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $1,023.29 Typical High $1,122.02 | Professional | TC · Technical part | $616.60 | $1,023.29 | $1,122.02 |
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 $1,148.15 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,148.15 | $1,513.56 | $1,513.56 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,513.56 Typical High $1,778.28 | Professional | None (both parts) | $933.25 | $1,513.56 | $1,778.28 |
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 $1,174.90 Median $1,318.26 Typical High $1,513.56 | Professional | None (both parts) | $1,174.90 | $1,318.26 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $691.83 Typical High $1,698.24 | Facility | None | $676.08 | $691.83 | $1,698.24 |
Select Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | None (both parts) | $676.08 | $676.08 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $707.95 Typical High $1,174.90 | Professional | None (both parts) | $537.03 | $707.95 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $93.33 | $107.15 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $616.60 Typical High $1,000.00 | Professional | TC · Technical part | $407.38 | $616.60 | $1,000.00 |
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 $831.76 Median $912.01 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $831.76 | $912.01 | $1,000.00 |
Where Idaho sits
The same service costs 6.0 times more in Alaska than in Indiana. 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
$1,175
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.