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 Professional Modifier None (both parts) Typical Low $38.90 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $38.90 | $97.72 | $97.72 |
BCBS Idaho Setting Facility Modifier None Typical Low $22.91 Median $51.29 Typical High $79.43 | Facility | None | $22.91 | $51.29 | $79.43 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $95.50 | $109.65 | $134.90 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $51.29 | $60.26 | $75.86 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $60.26 | Professional | TC · Technical part | $43.65 | $47.86 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $51.29 Typical High $95.50 | Facility | None | $19.05 | $51.29 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | None (both parts) | $42.66 | $42.66 | $43.65 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $97.72 Typical High $141.25 | Facility | None | $48.98 | $97.72 | $141.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $97.72 | Professional | None (both parts) | $75.86 | $91.20 | $97.72 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $51.29 | $56.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $41.69 Typical High $44.67 | Professional | TC · Technical part | $21.88 | $41.69 | $44.67 |
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 $85.11 Median $104.71 Typical High $104.71 | Facility | None | $85.11 | $104.71 | $104.71 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $91.20 | $104.71 | $134.90 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $87.10 | $95.50 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $50.12 Median $51.29 Typical High $104.71 | Facility | None | $50.12 | $51.29 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.11 Typical High $66.07 | Professional | None (both parts) | $24.55 | $33.11 | $66.07 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $81.28 Typical High $93.33 | Professional | 78 · Unplanned return to OR | $67.61 | $81.28 | $93.33 |
Where Idaho sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 7th of 51
$91.20
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.