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 $407.38 Median $602.56 Typical High $602.56 | Facility | None | $407.38 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $512.86 Typical High $602.56 | Professional | None (both parts) | $229.09 | $512.86 | $602.56 |
BCBS Idaho Setting Facility Modifier None Typical Low $134.90 Median $354.81 Typical High $1,096.48 | Facility | None | $134.90 | $354.81 | $1,096.48 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $501.19 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $501.19 | $562.34 | $707.95 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $162.18 Typical High $204.17 | Professional | 26 · Professional part | $138.04 | $162.18 | $204.17 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $398.11 Typical High $501.19 | Professional | TC · Technical part | $354.81 | $398.11 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $436.52 Typical High $794.33 | Facility | None | $162.18 | $436.52 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | None (both parts) | $218.78 | $218.78 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $478.63 Typical High $758.58 | Facility | None | $363.08 | $478.63 | $758.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $524.81 | Professional | None (both parts) | $263.03 | $478.63 | $524.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $134.90 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $134.90 | $181.97 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $354.81 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $354.81 | $389.05 |
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 $446.68 Median $537.03 Typical High $537.03 | Facility | None | $446.68 | $537.03 | $537.03 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $467.74 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $467.74 | $537.03 | $707.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $812.83 Typical High $1,174.90 | Facility | None | $478.63 | $812.83 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $426.58 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $426.58 | $501.19 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $478.63 | Facility | None | $257.04 | $257.04 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $398.11 | Professional | None (both parts) | $141.25 | $169.82 | $398.11 |
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 $354.81 Median $416.87 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $354.81 | $416.87 | $489.78 |
Where Idaho sits
The same service costs 4.2 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· 5th of 51
$490
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.