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 $407.38 Median $407.38 Typical High $407.38 | Facility | TC · Technical part | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $263.03 | $446.68 | $446.68 |
BCBS Idaho Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $933.25 | Facility | None | $426.58 | $645.65 | $933.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $512.86 | Professional | None (both parts) | $407.38 | $478.63 | $512.86 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $112.20 | Professional | 26 · Professional part | $93.33 | $109.65 | $112.20 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $371.54 Typical High $426.58 | Professional | TC · Technical part | $316.23 | $371.54 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $812.83 | Facility | None | $331.13 | $676.08 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $295.12 | $346.74 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $69.18 | $81.28 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $309.03 | Professional | TC · Technical part | $223.87 | $263.03 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $645.65 | Facility | None | $263.03 | $446.68 | $645.65 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $446.68 Typical High $588.84 | Professional | None (both parts) | $416.87 | $446.68 | $588.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $95.50 | $104.71 |
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 $398.11 Median $524.81 Typical High $524.81 | Facility | None | $398.11 | $524.81 | $524.81 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $426.58 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $426.58 | $524.81 | $616.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $933.25 | Facility | None | $467.74 | $724.44 | $933.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $467.74 Median $512.86 Typical High $562.34 | Professional | None (both parts) | $467.74 | $512.86 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $239.88 | Facility | None | $234.42 | $234.42 | $239.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $234.42 | $234.42 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $257.04 | $302.00 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $69.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $354.81 | Professional | TC · Technical part | $194.98 | $229.09 | $354.81 |
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 $288.40 Median $323.59 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $288.40 | $323.59 | $398.11 |
Where Idaho sits
The same service costs 5.8 times more in Oklahoma 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· 8th of 51
$457
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.