How much rates vary
Facilitymedian $513 · 10th to 90th $204 to $871Professionalmedian $275 · 10th to 90th $155 to $339
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $151.36 | $302.00 | $302.00 |
BCBS Idaho Setting Facility Modifier None Typical Low $204.17 Median $501.19 Typical High $870.96 | Facility | None | $204.17 | $501.19 | $870.96 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $239.88 | $281.84 | $338.84 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $177.83 Typical High $199.53 | Professional | 26 · Professional part | $151.36 | $177.83 | $199.53 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $120.23 | Professional | TC · Technical part | $85.11 | $100.00 | $120.23 |
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 $169.82 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $169.82 | $223.87 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $147.91 Typical High $169.82 | Professional | 26 · Professional part | $114.82 | $147.91 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $87.10 | Professional | TC · Technical part | $61.66 | $75.86 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $302.00 Typical High $1,202.26 | Facility | None | $169.82 | $302.00 | $1,202.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $234.42 | $302.00 | $363.08 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $158.49 Typical High $199.53 | Professional | 26 · Professional part | $128.82 | $158.49 | $199.53 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $102.33 | Professional | TC · Technical part | $75.86 | $93.33 | $102.33 |
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 $229.09 Median $302.00 Typical High $302.00 | Facility | None | $229.09 | $302.00 | $302.00 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $302.00 | $302.00 | $363.08 |
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 $269.15 Median $302.00 Typical High $338.84 | Professional | None (both parts) | $269.15 | $302.00 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $138.04 Typical High $489.78 | Facility | None | $134.90 | $138.04 | $489.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $134.90 | $134.90 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $128.82 | $181.97 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $107.15 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $61.66 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $61.66 | $102.33 |
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 $165.96 Median $194.98 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $165.96 | $194.98 | $234.42 |
Where Idaho sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 4th of 51
$302
AK $589UT $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.