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 $128.82 Median $128.82 Typical High $128.82 | Facility | TC · Technical part | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $147.91 | $281.84 | $281.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $323.59 Median $630.96 Typical High $891.25 | Facility | None | $323.59 | $630.96 | $891.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $218.78 | $257.04 | $309.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $158.49 Typical High $169.82 | Professional | 26 · Professional part | $131.83 | $158.49 | $169.82 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $100.00 | $117.49 |
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 $218.78 Typical High $239.88 | Professional | None (both parts) | $169.82 | $218.78 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $147.91 | Professional | 26 · Professional part | $104.71 | $128.82 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $91.20 | Professional | TC · Technical part | $64.57 | $83.18 | $91.20 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $281.84 Typical High $398.11 | Facility | None | $154.88 | $281.84 | $398.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $323.59 | Professional | None (both parts) | $213.80 | $281.84 | $323.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $154.88 Typical High $173.78 | Professional | 26 · Professional part | $128.82 | $154.88 | $173.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $87.10 | $104.71 | $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 $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 $331.13 | Professional | None (both parts) | $281.84 | $281.84 | $331.13 |
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 $239.88 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $239.88 | $269.15 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $1,380.38 | Facility | None | $125.89 | $125.89 | $1,380.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $125.89 | $125.89 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $117.49 | $165.96 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $100.00 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $114.82 | Professional | TC · Technical part | $45.71 | $64.57 | $114.82 |
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 $151.36 Median $177.83 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $151.36 | $177.83 | $213.80 |
Where Idaho sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$269
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.