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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $102.33 Typical High $123.03 | Professional | None (both parts) | $57.54 | $102.33 | $123.03 |
BCBS Idaho Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $66.07 | Facility | None | $35.48 | $51.29 | $66.07 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $138.04 | Professional | None (both parts) | $97.72 | $109.65 | $138.04 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $63.10 | $74.13 | $91.20 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $46.77 | Professional | TC · Technical part | $33.11 | $37.15 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $40.74 Typical High $74.13 | Facility | None | $15.14 | $40.74 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | None (both parts) | $44.67 | $44.67 | $45.71 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $102.33 Typical High $147.91 | Facility | None | $60.26 | $102.33 | $147.91 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $102.33 | Professional | None (both parts) | $89.13 | $95.50 | $102.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $57.54 | $61.66 | $69.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $32.36 Typical High $34.67 | Professional | TC · Technical part | $30.90 | $32.36 | $34.67 |
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 $87.10 Median $104.71 Typical High $104.71 | Facility | None | $87.10 | $104.71 | $104.71 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $93.33 | $104.71 | $141.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $91.20 | $97.72 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $20.42 Median $51.29 Typical High $52.48 | Facility | None | $20.42 | $51.29 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $36.31 Typical High $81.28 | Professional | None (both parts) | $34.67 | $36.31 | $81.28 |
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 $69.18 Median $81.28 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $69.18 | $81.28 | $97.72 |
Where Idaho sits
The same service costs 3.8 times more in Wisconsin than in Nevada. 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
$93.33
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.