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 $204.17 Median $331.13 Typical High $331.13 | Facility | None | $204.17 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $275.42 Typical High $316.23 | Professional | None (both parts) | $138.04 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $177.83 Typical High $204.17 | Professional | 26 · Professional part | $87.10 | $177.83 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $100.00 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $100.00 | $112.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $263.03 Median $537.03 Typical High $891.25 | Facility | None | $263.03 | $537.03 | $891.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $218.78 | $257.04 | $363.08 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $162.18 Typical High $177.83 | Professional | 26 · Professional part | $138.04 | $162.18 | $177.83 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $114.82 | Professional | TC · Technical part | $81.28 | $95.50 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $707.95 Typical High $851.14 | Facility | None | $346.74 | $707.95 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $165.96 | $204.17 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $151.36 | Professional | 26 · Professional part | $104.71 | $128.82 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $85.11 | Professional | TC · Technical part | $61.66 | $74.13 | $85.11 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $331.13 Typical High $2,344.23 | Facility | None | $204.17 | $331.13 | $2,344.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $151.36 | $275.42 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $177.83 Typical High $204.17 | Professional | 26 · Professional part | $93.33 | $177.83 | $204.17 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $112.20 | Professional | TC · Technical part | $61.66 | $100.00 | $112.20 |
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 $213.80 Median $281.84 Typical High $281.84 | Facility | None | $213.80 | $281.84 | $281.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $281.84 | $281.84 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $891.25 | Facility | None | $489.78 | $691.83 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $309.03 | Professional | None (both parts) | $251.19 | $275.42 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $616.60 | Facility | None | $125.89 | $128.82 | $616.60 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $257.04 | Professional | None (both parts) | $125.89 | $125.89 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $117.49 | $169.82 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $97.72 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $61.66 Typical High $95.50 | Professional | TC · Technical part | $43.65 | $61.66 | $95.50 |
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 $154.88 Median $181.97 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $154.88 | $181.97 | $218.78 |
Where Idaho sits
The same service costs 4.2 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· 5th of 51
$275
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.