How much rates vary
Facilitymedian $120 · 10th to 90th $78 to $240Professionalmedian $200 · 10th to 90th $65 to $240
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 $158.49 Median $239.88 Typical High $239.88 | Facility | None | $158.49 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $66.07 | $199.53 | $239.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $60.26 Median $112.20 Typical High $177.83 | Facility | None | $60.26 | $112.20 | $177.83 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $194.98 | $218.78 | $275.42 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $52.48 | $66.07 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $208.93 | Professional | TC · Technical part | $151.36 | $165.96 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $181.97 Typical High $331.13 | Facility | None | $69.18 | $181.97 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $91.20 | Professional | None (both parts) | $85.11 | $85.11 | $91.20 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $199.53 Typical High $288.40 | Facility | None | $120.23 | $199.53 | $288.40 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $275.42 | Facility | TC · Technical part | $125.89 | $173.78 | $275.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $213.80 | Professional | None (both parts) | $109.65 | $186.21 | $213.80 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $43.65 | $58.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $177.83 | Professional | TC · Technical part | $117.49 | $147.91 | $177.83 |
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 $173.78 Median $208.93 Typical High $208.93 | Facility | None | $173.78 | $208.93 | $208.93 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $186.21 | $208.93 | $275.42 |
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 $158.49 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $158.49 | $199.53 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $147.91 | Facility | None | $102.33 | $102.33 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $144.54 | Professional | None (both parts) | $56.23 | $64.57 | $144.54 |
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 $138.04 Median $162.18 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $138.04 | $162.18 | $190.55 |
Where Idaho sits
The same service costs 5.5 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
$178
AK $269AL $48.98
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.