How much rates vary
Facilitymedian $575 · 10th to 90th $219 to $871Professionalmedian $209 · 10th to 90th $107 to $257
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 $100.00 Median $100.00 Typical High $100.00 | Facility | TC · Technical part | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $117.49 | $218.78 | $218.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $870.96 | Facility | None | $302.00 | $575.44 | $870.96 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $107.15 | $125.89 | $213.80 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $138.04 | Professional | 26 · Professional part | $107.15 | $125.89 | $138.04 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $85.11 | Professional | TC · Technical part | $63.10 | $74.13 | $85.11 |
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 $138.04 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $138.04 | $173.78 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $117.49 | Professional | 26 · Professional part | $87.10 | $107.15 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $74.13 | Professional | TC · Technical part | $51.29 | $64.57 | $74.13 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $218.78 Typical High $316.23 | Facility | None | $123.03 | $218.78 | $316.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $123.03 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $138.04 | Professional | 26 · Professional part | $102.33 | $123.03 | $138.04 |
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 $165.96 Median $218.78 Typical High $218.78 | Facility | None | $165.96 | $218.78 | $218.78 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $218.78 | $218.78 | $263.03 |
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 $194.98 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $194.98 | $213.80 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $489.78 Typical High $588.84 | Facility | None | $354.81 | $489.78 | $588.84 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $61.66 | $61.66 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $97.72 | $218.78 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $57.54 | $81.28 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $144.54 Typical High $302.00 | Professional | TC · Technical part | $38.90 | $144.54 | $302.00 |
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 $74.13 Median $83.18 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $74.13 | $83.18 | $87.10 |
Where Idaho sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 12th of 51
$219
NE $537NJ $115
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.