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 None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $338.84 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $194.98 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $234.42 | $436.52 | $436.52 |
BCBS Idaho Setting Facility Modifier None Typical Low $954.99 Median $1,698.24 Typical High $2,454.71 | Facility | None | $954.99 | $1,698.24 | $2,454.71 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $575.44 Median $676.08 Typical High $933.25 | Professional | None (both parts) | $575.44 | $676.08 | $933.25 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $204.17 Typical High $208.93 | Professional | 26 · Professional part | $173.78 | $204.17 | $208.93 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $467.74 Typical High $549.54 | Professional | TC · Technical part | $398.11 | $467.74 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,995.26 Typical High $2,398.83 | Facility | None | $977.24 | $1,995.26 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $575.44 | Professional | None (both parts) | $416.87 | $489.78 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $177.83 | Professional | 26 · Professional part | $128.82 | $151.36 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $288.40 | $338.84 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $741.31 Typical High $2,884.03 | Facility | None | $630.96 | $741.31 | $2,884.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $630.96 Typical High $831.76 | Professional | None (both parts) | $371.54 | $630.96 | $831.76 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $177.83 Typical High $194.98 | Professional | 26 · Professional part | $107.15 | $177.83 | $194.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $263.03 | $436.52 | $436.52 |
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 $549.54 Median $724.44 Typical High $724.44 | Facility | None | $549.54 | $724.44 | $724.44 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $724.44 | $724.44 | $933.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $2,511.89 | Facility | None | $1,380.38 | $1,995.26 | $2,511.89 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $645.65 Median $707.95 Typical High $794.33 | Professional | None (both parts) | $645.65 | $707.95 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $331.13 Typical High $1,905.46 | Facility | None | $323.59 | $331.13 | $1,905.46 |
Select Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $323.59 | $323.59 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $363.08 | $416.87 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $112.20 | $128.82 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $446.68 | Professional | TC · Technical part | $251.19 | $295.12 | $446.68 |
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 $398.11 Median $446.68 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $398.11 | $446.68 | $562.34 |
Where Idaho sits
The same service costs 4.6 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· 6th of 51
$676
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.