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 $218.78 Median $218.78 Typical High $218.78 | Facility | TC · Technical part | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $112.20 | $257.04 | $257.04 |
BCBS Idaho Setting Facility Modifier None Typical Low $87.10 Median $147.91 Typical High $204.17 | Facility | None | $87.10 | $147.91 | $204.17 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $407.38 | Professional | None (both parts) | $269.15 | $302.00 | $407.38 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $64.57 | $74.13 | $95.50 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $199.53 | $229.09 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $229.09 Typical High $501.19 | Facility | None | $87.10 | $229.09 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | None (both parts) | $107.15 | $107.15 | $117.49 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $154.88 Typical High $371.54 | Facility | None | $102.33 | $154.88 | $371.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $257.04 Typical High $263.03 | Professional | None (both parts) | $245.47 | $257.04 | $263.03 |
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 $234.42 Median $288.40 Typical High $288.40 | Facility | None | $234.42 | $288.40 | $288.40 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $251.19 | $288.40 | $407.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $95.50 Median $138.04 Typical High $177.83 | Facility | None | $95.50 | $138.04 | $177.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $213.80 | $295.12 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $138.04 Typical High $141.25 | Facility | None | $114.82 | $138.04 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $85.11 Typical High $151.36 | Professional | None (both parts) | $61.66 | $85.11 | $151.36 |
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 $186.21 Median $218.78 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $186.21 | $218.78 | $281.84 |
Where Idaho sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 8th of 51
$214
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.